C
1 month ago
Job Summary
Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.
- Minimum Qualification : Degree
- Experience Level : Mid level
- Experience Length : 5 years
Job Description/Requirements
Responsibilities:
- Ability to interact with other business areas such as PIAB, Network, IT NOW, Medical Policy, MSO, and Claim and Call Policy.
- Be analytical through process and able to explain in detail your findings.
- HRP processing platform to review opportunities and understand how claims processed. Are the claims paying correctly, if not why how can it be avoided in the future?
- Claims/Policies & procedures
- Represent MEU on calls in correction opportunities
- Be analytical through process and able to explain in detail your findings.
- 5-8 years of relevant experience
Preferred Qualifications:
- Strong analytic skills, skilled problem solver
- Ability to communicate effectively with all levels
- Ability to remain flexible with ever changing priorities
- Strong collaboration skills working across various teams
- Strong organizational skills
- Independent thinker
- Self-starter
- Ability to learn new technology
- Ability to manage conflicting priorities and multiple projects concurrently
- Demonstrates initiative, innovation and leadership in achieving results
- Demonstrates critical thinking and expresses ideas clearly, concisely and logically from a cross functional perspective
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