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At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Position Summary

The Non-Clinical Reviewer will serve as the designated lead for STAR Kids rolling month state audit submissions. This role is responsible for the full oversight, coordination, and execution of the audit process. The non-clinical reviewer will work collaboratively with service coordination teams, quality assurance, and leadership to ensure timely, accurate, and audit-ready documentation. The position requires critical thinking, clinical knowledge, and excellent organizational skills to maintain ongoing audit readiness and support continuous quality improvement.

Location

Candidates may live anywhere in the United States but will be expected to work CST standard business hours.

Key Responsibilities:

_Audit Submission Oversight & Management:_

• Assist with the coordination and execution of monthly rolling STAR Kids state audit submissions.

• Pull, merge, and organize all required documentation from multiple sources to meet state audit requirements.

• Perform document preparation including formatting and bookmarking in compliance with state standards.

• Track submission timelines, ensure deadlines are met, and maintain audit documentation logs.

• Serve as the subject matter expert for STAR Kids audit processes, providing guidance and updates to internal teams.

_Quality Assurance & Documentation Review:_

• Conduct comprehensive monthly reviews of STAR Kids service coordination charts to ensure documentation compliance and audit readiness.

• Identify documentation gaps, compliance risks, and trends across service coordination records.

• Provide written risk analysis reports and develop targeted recommendations for quality improvement.

• Collaborate with service coordination supervisors and quality teams to implement corrective actions and process improvements.

_Continuous Improvement & Readiness:_

• Maintain audit readiness month-over-month by developing proactive strategies to reduce risk

Required Qualifications

+ 2 Years STAR Kids MDCP Experience

Preferred Qualifications

+ College Degree

Education

+ Highschool Graduate

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$43,888.00 - $85,068.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

+ **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** .

+ **No-cost programs for all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.

+ **Benefit solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

For more information, visit https://jobs.cvshealth.com/us/en/benefits

We anticipate the application window for this opening will close on: 06/27/2025

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

We are an equal opportunity and affirmative action employer. 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.