Amherst, New York

Job Description
Quality Analyst monitors the department quality of the claim department. The primary focus is auditing claim staff and their claim review results conducted to support quality outcomes.

Fundamental Components:
The Claim Audit Quality Analyst is a critical role within Meritain Operational Quality Assurance. The ideal candidate will perform audits to ensure claims are accurate and completed timely. Feedback to the claims department in an integral part of this role. Knowledge of claim benefit application, system navigation, claim processing, and an strong attention to detail are desired. Participation in occasional claim projects may occur.


BACKGROUND/EXPERIENCE desired:
2 years experience claim processing environment that reflects a proven track record or proficiency in the competencies noted.
Basic project management skills.
Attention to details.
Ability to provide timely, accurate and relevant feedback to improve claim performance
Strong communication skills


EDUCATION
The highest level of education desired for candidates in this position is an Associate's degree or equivalent experience.

Required Qualifications
BACKGROUND/EXPERIENCE desired:
2 years experience claim processing environment that reflects a proven track record or proficiency in the competencies noted.
Basic project management skills.
Attention to details.
Ability to provide timely, accurate and relevant feedback to improve claim performance
Strong communication skills

Preferred Qualifications
Please review required qualifications above

Education
Associate's degree or equivalent experience

Business Overview
At Aetna, a CVS Health company, 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 are committed to maintaining a diverse and inclusive workplace. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, gender, gender identity, age, disability or protected veteran status. 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

Amherst, New York

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."

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