Medicare PDE & Claims Analytics Analyst

CVS Health; Orangeburg (SC); In loco; USD 47.000 - 112.000; Tempo pieno

Vantaggi offerti da questo lavoro

Benefits package

Descrizione del lavoro

CVS Health is seeking a detail-oriented analyst to review claims and PDE errors, coordinating with the PDE Reporting Team and CMS deadlines. You will analyze the PDE Rejections, review Acumen Outliers, and communicate findings to internal and external clients.

The role requires working knowledge of Part D plans, strong Excel/SQL/Python skills, and the ability to support weekly PDE meetings while driving data quality improvements in Medicare claims.

Competenze

• Excellent written and verbal communication skills.
• Strong organizational skills and ability to manage multiple projects simultaneously.
• Excellent time management skills as these requests are time sensitive.
• Proficiency with Microsoft Word and Excel.
• Proficiency with SQL and/or Python.

Mansioni

• Review claims and PDE errors and analyze PDE Rejections reports.
• Coordinate research with various departments and respond to external clients or Acumen per CMS deadlines.
• Assist with weekly PDE meetings and drive continuous improvement of Medicare claims data.

Conoscenze

Communication skills

Time management

Organizational skills

Formazione

Bachelor's degree preferred or equivalent work experience

Strumenti

SQL

Python

Microsoft Word & Excel

Descrizione del lavoro

CVS Health is seeking a detail-oriented analyst to review claims and PDE errors, coordinating with the PDE Reporting Team and CMS deadlines. You will analyze the PDE Rejections, review Acumen Outliers, and communicate findings to internal and external clients.

The role requires working knowledge of Part D plans, strong Excel/SQL/Python skills, and the ability to support weekly PDE meetings while driving data quality improvements in Medicare claims.