Senior Health Claims & Data Analyst

CVSHealth; Pennsylvania; Hybrid; USD 47,000 - 102,000; Full time

Job summary

CVS Health in Pennsylvania is seeking an experienced claims professional to support the DSNP expansion. You will own 837 file transmissions to the states, review state responses, and ensure all transactions are complete and error-free, enabling seamless member experiences.

The ideal candidate has 2+ years in medical claims and Medicare/Medicaid, plus data management and FTP transmission experience, with a Bachelor’s or equivalent and a passion for accurate, compliant healthcare data flows.

Qualifications

• 2+ years experience with medical claims and/or Medicare/Medicaid.
• 2+ years experience with FTP and other data transmission software.
• 3+ years of data management experience.

Skills

Medical claims

Data transmissions (FTP)

Data management

DSNP plans

Florida state experience

Education

Bachelor's degree or equivalent

Job description

CVS Health in Pennsylvania is seeking an experienced claims professional to support the DSNP expansion. You will own 837 file transmissions to the states, review state responses, and ensure all transactions are complete and error-free, enabling seamless member experiences.

The ideal candidate has 2+ years in medical claims and Medicare/Medicaid, plus data management and FTP transmission experience, with a Bachelor’s or equivalent and a passion for accurate, compliant healthcare data flows.