Medicare Claims Data Analyst - PDE Rejections & Insights

CVS Health; Bastrop (LA); Presencial; USD 47.000 - 112.000; Jornada completa

Descripción de la vacante

CVS Health is seeking a detail‑oriented professional to review Medicare PDE errors, analyze rejections, and coordinate responses to CMS deadlines. You will liaise with the PDE Reporting Team and other departments to ensure timely resolution and continuous improvement of claims data.

The role requires 3+ years in government-regulated health programs, strong communication, and proficiency with Excel; SQL/Python are a plus. This is a full‑time on‑site position in Bastrop, LA.

Formación

• Minimum 3 years experience with government-regulated health programs in financial operations.
• Excellent written and verbal communication with clients and partners.
• Strong organizational and time-management abilities.
• Proficiency with Microsoft Word and Excel; SQL and/or Python helpful.

Responsabilidades

• Review claims and PDE errors and analyze PDE rejections.
• Distribute PDE Rejections reports to internal and external clients.
• Coordinate research with departments and respond to CMS deadlines.
• Assist with weekly PDE meetings and pursue continuous improvement.

Conocimientos

Communication

Organizational skills

Time management

Educación

Bachelor's degree or equivalent

Herramientas

SQL

Python

Excel

Word

Descripción del empleo

CVS Health is seeking a detail‑oriented professional to review Medicare PDE errors, analyze rejections, and coordinate responses to CMS deadlines. You will liaise with the PDE Reporting Team and other departments to ensure timely resolution and continuous improvement of claims data.

The role requires 3+ years in government-regulated health programs, strong communication, and proficiency with Excel; SQL/Python are a plus. This is a full‑time on‑site position in Bastrop, LA.