Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver.

　　Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.

　　Position Summary

　　Provides consultation on the design, testing and enhancement of information product including technical assistance and product development support to external and internal customers.

　　- Researches, manipulates and prepares complex data to document program activities and reports on its results.

　　- Provides oversight to data quality and provides feedback to various areas in order to improve service delivery and enhancement to design efforts.

　　- Develops a consultative relationship with internal/external customers.

　　QNXT is REQUIRED

　　Excel is REQUIRED

　　- May lead or act as a business technical expert with the planning, development and validation of master or detail test plans and strategies.

　　- Performs ongoing research, and support tasks for existing systems.

　　- Leads or acts as a business technical expert in the design of new applications or enhancements including integration of solutions.

　　- Provides Leadership/Coaching/Mentoring; may be a mentor to others.

　　- Directs the implementation of program specific information through education, technology, organizational methods and procedures.

　　- Influences enhancements to business processes and system infrastructure to improve data quality availability and access.

　　- Manages customer contact and participates in internal and external health industry development efforts (e.g., performance measurements).

　　- Analyzes complex data for trends, highlights in-depth interpretations and provides in-depth root cause analysis.

　　- Consults with client on a regular basis to ensure progress is in line with customer's expectations and to obtain additional information as needed.

　　- Translates complex data into constructive data and information and makes recommendations.

　　- Defines, identifies, develops and implements information products to support strategic business and operational planning.

　　- Illustrates complex information in a clear concise manner.

　　- Develops and conducts presentations and consultations to existing and prospective customers and internal business areas.

　　- Provides workgroup support on projects.

　　- Educates customer on the value, use and interpretation of information product.

　　- Influences changes/enhancements to business processes, policies, and system infrastructure to improve information quality, availability and access.

　　- Evaluates available software and data to deliver better business solutions.

　　This position is part of Service Operations

　　Required Qualifications

　　-6+ Months Working experience reading and understanding claims.

　　-Working knowledge of reading and reviewing claim and coding types.

　　-6+ Months Excel.

　　-6+ Months QNXT.

　　-Excellent verbal and written communication skills.

　　-Remedy (Ticket Tracking) experience is a plus.

　　-MS Office (Word, Access DB and Info Path etc.)

　　-MS SQL experience is a plus.

　　-Extensive experience with databases as well interpretation and manipulation of related data.

　　-Healthcare background.

　　-3-5+ years of data interpretation and analysis experience.

　　Preferred Qualifications

　　-Bachelor's degree, technical certification or equivalent work experience.

　　Education -Bachelor's degree, technical certification or equivalent work experience.

　　Pay Range

　　The typical pay range for this role is:

　　$43,700.00 - $100,000.00

　　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.

　　In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company's 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off ("PTO") or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.

　　For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits

　　CVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated.

　　You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.

　　CVS Health is committed to recruiting, hiring, developing, advancing, and retaining individuals with disabilities. As such, we strive to provide equal access to the benefits and privileges of employment, including the provision of a reasonable accommodation to perform essential job functions. CVS Health can provide a request for a reasonable accommodation, including a qualified interpreter, written information in other formats, translation or other services through [email protected] If you have a speech or hearing disability, please call 7-1-1 to utilize Telecommunications Relay Services (TRS). We will make every effort to respond to your request within 48 business hours and do everything we can to work towards a solution.