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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.

Description

Supports the business by measuring and monitoring the quality and effectiveness of work processes in claim processing and/or customer service that impact customer satisfaction, medical cost management, and operational efficiency.

Primary Job Duties & Responsibilities

Communicates with quality specialists on established procedures to support business tasks for the quality assurance function.

Maintains effective relationships with departments and teams to ensure daily communication to resolve issues and prevent delays in service.

Defines the organizational standard for quality audits and reviews and instructs associates on how to measure compliance within established guidelines.

Assists in the data collection and analysis to identify trends in quality control outcomes.

Monitors internal teams and assists with the daily maintenance and operations of business units.

Observes team operations and identifies opportunities to maximize business output.

Operates within a team of quality specialists and takes direction from senior management on new initiatives.

Compiles periodic reports on quality metrics to identify patterns in quality issues.

Collects and compiles data across the organization to measure and analyze performance in various operations.​

Required Qualifications:

+ 1-2 years of working experience in auditing, quality review, or related insurance operations

Preferred Qualifications:

+ Experience working with Medicare Supplement, Final Expense, or Ancillary insurance applications

+ Strong ability to follow documented processes and procedures

+ Previous experience creating reports used for monitoring quality performance, identifying error trends, and/or providing feedback for process improvement.

+ Familiar with Microsoft products such as Excel, OneNote, Word, Outlook

Education:

High school diploma or up to 1 year equivalent experience.

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$17.00 - $28.46

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: 07/21/2025

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.