Medical Claims Analyst

Clinical Careers Page(27 days ago)

CaliforniaOnsiteFull TimeMedior$37,000 - $77,640Claims

About this role

This role supports cost management programs to reduce medical claim expense and identify and recover medical claim dollars from liable parties. The position gathers data and compiles cost analyses to identify cost‑saving opportunities and help achieve financial goals within CVS Health's claims operations.

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Required Skills

Claims Processing
Data Analysis
Communication
Excel
Problem Solving
Adjudication
Conflict Resolution
Documentation
Eligibility Verification
Presentation

Qualifications

High School Diploma or G.E.D.

About Clinical Careers Page

cvshealth.com

CVS Health is America's leading health solutions company, providing integrated services across retail pharmacy (CVS Pharmacy), pharmacy benefits management (CVS Caremark), and health insurance (Aetna). The company offers pharmacy services, health plans, clinical care (including MinuteClinic), and health-and-wellness programs for consumers, employers, and government payers. By combining a large national retail footprint with claims processing, care management, and clinical services, CVS Health aims to coordinate care, lower costs, and improve health outcomes. Businesses and consumers use its solutions for medication management, plan administration, and in-person and virtual care.

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