Medicare PDE & Claims Analytics Lead

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

Benefits dieser Stelle

Medical, dental, and vision coverage

Paid time off

Retirement savings options

Wellness programs

Zusammenfassung

CVS Health in Kentucky is seeking a Claims and PDE Analyst to review claims and PDE errors, analyze PDE rejections, and coordinate responses with internal teams and external clients to meet CMS deadlines.

The role requires 3 years of government-regulated health program experience, strong data analysis with SQL/Python, and proficiency in Word/Excel. This full-time position offers a comprehensive benefits package and opportunities to improve Medicare data quality.

Qualifikationen

• 3 years minimum experience with government-regulated health programs within financial operations and/or related experience (Medicaid, Medicare, and/or Exchanges).
• Excellent written and verbal communication skills for interaction with clients, internal partners, and government agencies.
• 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.
• Bachelor's degree preferred or equivalent work experience required

Kenntnisse

communication skills

time management

organizational skills

Microsoft Word

Excel

SQL

Python

Ausbildung

Bachelor's degree

Tools

SQL

Python

Microsoft Word

Excel

Jobbeschreibung

CVS Health in Kentucky is seeking a Claims and PDE Analyst to review claims and PDE errors, analyze PDE rejections, and coordinate responses with internal teams and external clients to meet CMS deadlines.

The role requires 3 years of government-regulated health program experience, strong data analysis with SQL/Python, and proficiency in Word/Excel. This full-time position offers a comprehensive benefits package and opportunities to improve Medicare data quality.