Clinical Settlement Analyst - Remote Opportunity at CVS Health ($26-$35/Hour)
Job Summary:
We are seeking a highly skilled and motivated Clinical Settlement Analyst to join our team at CVS Health. As a Clinical Settlement Analyst, you will play a critical role in supporting the Clinical Settlement team, working closely with stakeholders to analyze and resolve complex settlement issues. This is a full-time remote opportunity, offering a competitive salary of $26-$35/hour.
Key Responsibilities:
Provide expert analysis and support for Clinical Settlement projects, focusing on the Prior Authorization (PA) model and executive settlement
Work with large volumes of PAs to ensure timely and accurate processing, meeting business needs and requirements
Collaborate with stakeholders to identify root causes of issues, develop solutions, and implement changes to improve processes
Utilize RxClaim and participate in business requirement judgments, testing, and documentation for Clinical Settlement projects
Support CAPAS administration index contributions, integrating enhancements into all aspects of CAPAS tasks
Ensure timely closure of expectations resulting from division drives and PA activities
Requirements:
1-2 years of scientific experience working with large datasets, preferably in a clinical or settlement-related environment
Strong analytical and problem-solving skills, with the ability to think critically and apply proven thinking and logic
Excellent communication and organizational skills, with the ability to articulate complex technical concepts to non-technical stakeholders
Proficiency in Microsoft Office Suite, with experience using MS Access database
Ability to work independently and as part of a team, with a self-motivated and results-driven attitude
Preferred Qualifications:
RxClaim experience, specifically settlement connected with PA overrides
Advanced proficiency in Microsoft Office Suite
Ability to run queries in RxClaim or Data Warehouse
What We Offer:
Competitive salary: $26-$35/hour
Full-time remote opportunity
Opportunity to work with a leading healthcare company
Collaborative and dynamic work environment
We encourage you to apply, even if you feel you're not a perfect match. We're looking for great people to join our friendly team!
Apply Now
Apply Now
We are seeking a highly skilled and motivated Clinical Settlement Analyst to join our team at CVS Health. As a Clinical Settlement Analyst, you will play a critical role in supporting the Clinical Settlement team, working closely with stakeholders to analyze and resolve complex settlement issues. This is a full-time remote opportunity, offering a competitive salary of $26-$35/hour.
Key Responsibilities:
Provide expert analysis and support for Clinical Settlement projects, focusing on the Prior Authorization (PA) model and executive settlement
Work with large volumes of PAs to ensure timely and accurate processing, meeting business needs and requirements
Collaborate with stakeholders to identify root causes of issues, develop solutions, and implement changes to improve processes
Utilize RxClaim and participate in business requirement judgments, testing, and documentation for Clinical Settlement projects
Support CAPAS administration index contributions, integrating enhancements into all aspects of CAPAS tasks
Ensure timely closure of expectations resulting from division drives and PA activities
Requirements:
1-2 years of scientific experience working with large datasets, preferably in a clinical or settlement-related environment
Strong analytical and problem-solving skills, with the ability to think critically and apply proven thinking and logic
Excellent communication and organizational skills, with the ability to articulate complex technical concepts to non-technical stakeholders
Proficiency in Microsoft Office Suite, with experience using MS Access database
Ability to work independently and as part of a team, with a self-motivated and results-driven attitude
Preferred Qualifications:
RxClaim experience, specifically settlement connected with PA overrides
Advanced proficiency in Microsoft Office Suite
Ability to run queries in RxClaim or Data Warehouse
What We Offer:
Competitive salary: $26-$35/hour
Full-time remote opportunity
Opportunity to work with a leading healthcare company
Collaborative and dynamic work environment
We encourage you to apply, even if you feel you're not a perfect match. We're looking for great people to join our friendly team!
Apply Now
Apply Now