Medicare Claims & PDE Reconciliation Analyst

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

Benefits dieser Stelle

Medical coverage

Dental coverage

Vision coverage

Paid time off

Retirement savings

Zusammenfassung

CVS Health in Montana seeks a Claims Analyst to review Medicare/Medicaid PDE claims and PDE errors, analyze rejections, and coordinate with departments to meet CMS deadlines. This full-time role requires strong analytics and communication with clients and partners.

The position includes liaison duties with the PDE Reporting Team, Acumen review, and CMS guidance adherence, plus opportunities to improve Medicare claims data processes.

Qualifikationen

• Experience with Medicaid/Medicare/Exchanges.
• Strong communication with clients and partners.
• Ability to manage multiple projects and meet deadlines.

Aufgaben

• Review claims and PDE errors across programs.
• Serve as liaison between PDE Reporting Team and related entities.
• Coordinate research and respond to external clients per CMS deadlines.
• Assist with weekly PDE meetings and drive data quality improvements.

Kenntnisse

Excellent written and verbal沟通

Ausbildung

Bachelor's degree preferred or equivalent

Tools

SQL

Python

Microsoft Word

Excel

Jobbeschreibung

CVS Health in Montana seeks a Claims Analyst to review Medicare/Medicaid PDE claims and PDE errors, analyze rejections, and coordinate with departments to meet CMS deadlines. This full-time role requires strong analytics and communication with clients and partners.

The position includes liaison duties with the PDE Reporting Team, Acumen review, and CMS guidance adherence, plus opportunities to improve Medicare claims data processes.