Research Analyst

CVS Health; Whitpain Township (Montgomery County); Remote; USD 40,000 - 90,000; Full time

Job summary

An established industry player seeks a motivated Analyst Research to enhance data integrity in their submission process. This full-time remote role involves analyzing medical claims data to ensure compliance with CMS operational rules. The ideal candidate will have a strong background in claims processing, data analysis, and Excel, alongside excellent problem-solving and communication skills. Join a company dedicated to transforming health care through innovative, patient-focused solutions and enjoy a comprehensive benefits package designed to support your well-being and career growth.

Benefits

Medical benefits

Dental benefits

Vision benefits

401(k) retirement savings plan

Employee Stock Purchase Plan

Paid Time Off (PTO)

Short-term and long-term disability benefits

Education assistance

CVS store discount

Well-being programs

Qualifications

• 2+ years of medical claims processing or enrollment experience required.
• Strong data analysis and Excel skills are essential.

Responsibilities

• Support data integrity of submission process and ensure compliance with CMS rules.
• Assist in identifying data gaps and trends in medical data.

Skills

Medical claims processing

Excel (v-look up)

Data analysis

Problem-solving

Organizational skills

Communication skills

Education

Bachelor’s degree or equivalent experience

Tools

Excel

Job description

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.

This is a full-time remote position.

Position Summary

The CRA Business Team is seeking a highly motivated Analyst Research to support the data integrity of our submission process. In this role, you will be expected to provide data analysis to ensure our data is compliant with CMS operational rules. The candidate in this role will assist the team with identifying root cause analysis and data gaps or trends concerning our medical data. A strong understanding of professional and institutional claims is desired.

Required Qualifications

• 2+ years of medical and/or hospital claims processing OR 2+ years of enrollment experience
• 2+ Years of Excel experience (specifically v-look up experience)

Preferred Qualifications

• 2+ Year of ACAS/HRP experience
• Medicare and Affordable Care Act risk methodology experience a plus.
• Strong organizational skills & time management
• Strong problem-solving skills
• Strong verbal and written communication skills
• Detail-oriented and quality-minded
• Self-driven & strong work ethic
• Strong data analysis capability
• Work collaboratively for individual and team results
• Complete required trainings timely

Education

• Bachelor’s degree or equivalent experience required

Business Overview

At CVS Health, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive, and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.

We strive to promote and sustain a culture of diversity, inclusion, and belonging every day. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, or promotion based on race, ethnicity, sex/gender, sexual orientation, gender identity or expression, age, disability, or protected veteran status or on any other basis or characteristic prohibited by applicable federal, state, or local law. We proudly support and encourage people with military experience (active, veterans, reservists, and National Guard) as well as military spouses to apply for CVS Health job opportunities.

Pay Range

The typical pay range for this role is: $40,600.00 - $89,300.00. This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography, and other relevant factors. This position is eligible for a CVS Health bonus, commission, or short-term incentive program in addition to the base pay range listed above.

In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long-term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time, and other time off are provided consistent with relevant state law and Company policies.

For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits.

We anticipate the application window for this opening will close on: 03/22/2024.

CVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevent them from being vaccinated.

You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.

CVS Health is committed to recruiting, hiring, developing, advancing, and retaining individuals with disabilities. As such, we strive to provide equal access to the benefits and privileges of employment, including the provision of a reasonable accommodation to perform essential job functions. CVS Health can provide a request for a reasonable accommodation, including a qualified interpreter, written information in other formats, translation, or other services through [e-mail]. If you have a speech or hearing disability, please call 7-1-1 to utilize Telecommunications Relay Services (TRS). We will make every effort to respond to your request within 48 business hours and do everything we can to work towards a solution.