Senior Quality Consultant

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary Quality check complex benefit information, including non-standard plan language into crisp, compliant, easy-to-understand plan language for self-funded plans. This includes analyzing, drafting, editing, and reviewing all legal and regulatory plan documentation (i.e., SPDs, plan amendments. SBCs and restates) for our self-funded plan customers. Basic understanding of regulations, laws, and internal procedures impacting self-funded health plans with attention to ensuring the plan and company remain in compliance with federal and state law. Successfully negotiate deadlines when appropriate; influences change/enhancement to business processes, policies, and system infrastructure to improve information quality, availability, and access. Deliver high-quality documentation ensuring department standards are met with a focus on ensuring all errors in spelling, grammar, and formatting are corrected before the document is sent to the customer. May participate in implementation of department projects as needed. Other duties as assigned. Required Qualifications 3-5 years of plan writing experience supporting self-funded or fully insured plans. Proficiency with Microsoft Office Word, Excel, SharePoint and Outlook applications. Preferred Qualifications Adept at problem solving and decision making skills. Quality Improvement Associate Certification (CQIA). Interpersonal skills to include written and verbal communication, critical thinking, persuasiveness, advising and counseling skills. Ability to anticipate workload needs and to ...