Medicare Claims Data Analyst - PDE & Rejections Expert

CVS Health; Virginia; Hybrid; USD 47.000 - 112.000; Vollzeit

Benefits dieser Stelle

Medical, dental, and vision coverage

Paid time off

Retirement savings options

Wellness programs

Bonus eligibility

Zusammenfassung

CVS Health is seeking a detail-oriented professional to review PDE errors and participate in data quality initiatives. The role involves analyzing PDE Rejections, coordinating with the PDE Reporting Team and internal stakeholders, and ensuring timely responses to CMS deadlines.

A strong background in government-regulated health programs and data analysis is required. You will collaborate across departments, support weekly PDE meetings, and contribute to continuous improvement of Medicare claims

Qualifikationen

• 3 years minimum experience with government-regulated health programs within financial operations and/or related experience.
• Experience with Medicaid, Medicare, and/or Exchanges.

Aufgaben

• Review PDE errors and analyze PDE Rejections; distribute reports to clients.
• Serve as liaison between PDE Reporting Team, PDE Eligibility/Reconciliation and other involved entities.
• Coordinate research with departments and submit responses to external clients per CMS deadlines.
• Assist with weekly PDE meetings and drive process improvements for accuracy.

Kenntnisse

Excellent communication

Strong organizational

Time management

MS Word

MS Excel

SQL

Python

Ausbildung

Bachelor's degree or equivalent work experience required

Tools

MS Word

MS Excel

SQL

Python

Jobbeschreibung

CVS Health is seeking a detail-oriented professional to review PDE errors and participate in data quality initiatives. The role involves analyzing PDE Rejections, coordinating with the PDE Reporting Team and internal stakeholders, and ensuring timely responses to CMS deadlines.

A strong background in government-regulated health programs and data analysis is required. You will collaborate across departments, support weekly PDE meetings, and contribute to continuous improvement of Medicare claims