Must work AZ time zone, fully remote can sit anywhere in the US

As a Claims Analyst, you are responsible for analyzing submitted documentation, making outbound calls to obtain required information, and processing Medicare Part D claims per CMS regulations. This position requires a methodical attention to detail, strong analytic thinking, and the ability to multi-task in a production based and time sensitive environment.

Additional characteristics of the Claims Analyst include:

• Being able to resolve situations with written policies and procedures
• Be able to meet deadlines, expectations, and production, quality, and performance standards.
• Possess exceptional analytical abilities. You must be able to manage a personal claims inventory consisting of varying complexities, urgencies, and deadlines.
• Must be able to work well within a team environment as you will be acting as a liaison to internal partners.
• Must be an independent worker and be able to set your own priorities in a fast-paced environment

Pay Range
The typical pay range for this role is:
Minimum: 40,560
Maximum: 83,400

Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will take into account a wide range of factors, including location.

Required Qualifications

• At least 3 years of work experience that shows a progressive trend in responsibility and accountability
• Excellent verbal and written communication skills
• In-depth experience working with Microsoft Office Suite products

Preferred Qualifications

• 2+ years of claims processing experience
• 2+ years of overall experience within Medicare Part D or in a PBM setting
• 2+ years of professional work experience. Professional work experience is described as “work that requires a certain level of education, skill, or training, with a lesser degree of supervision than average.”
• Knowledge or previous experience with Salesforce is preferred
• Knowledge of CMS Guidance

Education
High School Diploma or GED required
Bachelor’s Degree preferred

Business Overview
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. 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. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected 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.