Quality Champion: Health Claims & Service Excellence

CVS Health; Ohio; Híbrido; USD 25.000 - 53.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Medical, dental, and vision coverage

Paid time off

Retirement savings options

Wellness programs

Descripción de la vacante

CVS Health in Ohio is seeking a quality-focused advocate to guide claim processing and customer service by measuring quality and driving improvements that impact satisfaction and cost management.

You will consult cross-functionally, perform regular quality audits, and support targeted projects with recommendations to senior management, ensuring compliance with standards and processes.

Formación

• 2+ years in health insurance or Healthcare Quality Review.
• 2+ years of experience with diagnosis codes and medical terminology.
• Moderate to advanced Excel skills (VLOOKUPs, pivot tables, formulas).

Responsabilidades

• Act as quality champion to measure and improve claim processing and customer service.
• Coordinate with cross-functional teams to drive quality improvements.
• Conduct regular quality audits to ensure compliance with standards.
• Support quality audit projects and report findings to management.

Conocimientos

Health insurance industry experience

Diagnosis codes & medical terminology

Excel (VLOOKUPs, pivot tables)

Educación

High School Diploma or GED

Descripción del empleo

CVS Health in Ohio is seeking a quality-focused advocate to guide claim processing and customer service by measuring quality and driving improvements that impact satisfaction and cost management.

You will consult cross-functionally, perform regular quality audits, and support targeted projects with recommendations to senior management, ensuring compliance with standards and processes.