DSNP Encounter Data Analyst — 837 Claims

CVS Health Corporation; South Carolina; Hybrid; USD 44,000 - 94,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Paid time off

Retirement savings options

Wellness programs

Job summary

CVS Health Corporation in the United States seeks a claims data specialist for the DSNP business. You will own 837 file transmissions to the states, manage state response files, and ensure that all transactions transmitted are complete and error-free.

This role requires 1+ year of claims or encounter data experience, FTP and data transfer proficiency, and solid data management skills. A Bachelor's degree or equivalent work experience is required.

Qualifications

• 1+ year of encounter data, medical claims, or Medicare/Medicaid experience.
• 1+ year of using FTP and data transfer software.
• 1+ year of data management experience.

Responsibilities

• Own 837 file transmissions to the states and manage state response files.
• Ensure all transactions transmitted are complete and error-free.
• Manage and complete error corrections to meet state requirements.
• Collaborate with teams to maintain data accuracy and compliance.

Skills

Encounter data experience

Medical claims experience

FTP experience

Data management

Education

Bachelor's degree or equivalent work experience

Tools

Microsoft Access Databases

Job description

CVS Health Corporation in the United States seeks a claims data specialist for the DSNP business. You will own 837 file transmissions to the states, manage state response files, and ensure that all transactions transmitted are complete and error-free.

This role requires 1+ year of claims or encounter data experience, FTP and data transfer proficiency, and solid data management skills. A Bachelor's degree or equivalent work experience is required.