Monroeville, Pennsylvania

Job Description
CVS Health is hiring for a Reimbursement Specialist =As a Payer Contract Coordinator, you will be responsible for all Payer contract creation and maintenance in support of accurate billing and collections. Your role is critical to ensure a smooth flow of payment to payers that allows CVS Health to quickly dispense and bill for thousands of medications that are vital to the health of our patients.

Our Payor Contract Coordinators process and coordinate contract requirements and re-certifications both internally and externally with Payers and other authorized Agents. You will also be responsible for Monitoring Payer reimbursement data in multiple systems and reports to ensure compliance with expected pricing, reimbursement rates in support of accurate billing and collections and contract/payer agreement compliance. Your role serves as a critical point of contact for healthcare billing and reimbursement operations; you will routinely interface with multiple internal groups, including medical billers and coders, pharmacy technicians, and contract sales associates.

We offer a comprehensive benefits package which includes medical, dental, vision insurance as well as a comprehensive list of supplemental list of benefits and discount programs. In addition to sixteen paid days off for employees, we also offer ten paid holidays.

Our application process is 2 simple steps.  

1. Apply on line. 

2. Take our Virtual Job Tryout to fast track the recruitment process and start your career with CVS!

Required Qualifications
- 18+ months experience within healthcare billing or collections
- 12+ months working with Microsoft Office, specifically Excel, Outlook and Word

Preferred Qualifications
- Experience with SharePoint
- Experience dealing with contracts with Payers

High School Diploma or GED 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. See Job Description

Monroeville, Pennsylvania

Continue serving and work with a purpose

As a CVS Health colleague, you'll find career opportunities across the organization and at every stage of your career. More important, your work will have an impactful purpose on someone's life, including your own. Learn more about how you can continue serving on your next mission at CVS Health.

Careers for Veterans and Military Spouses


"The military has an ethos that is grounded in purpose-driven service that’s bigger than the individual. The same holds true for us at CVS Health. You can talk to colleagues in any part of our business and they will be able to articulate our company’s purpose. Working here provides an opportunity for service members and military spouses to continue to serve, just in a civvies."

Similar jobs