Quality Analyst - Grievance and Appeals - Fully Remote
Clinical Careers Page(5 days ago)
About this role
The Quality Analyst at CVS Health applies in-depth knowledge of compliance, audits, and grievance processes to ensure adherence to federal and state regulations. The role involves analyzing complaints, contributing to process improvements, and supporting audit activities, all within a customer-centric framework.
Required Skills
- Compliance
- Audit
- Medicare
- Medicaid
- Quality Assurance
- Regulations
- Documentation
- Process Improvement
- Customer Service
- Analytics
About Clinical Careers Page
cvshealth.comCVS 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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