Ops Account-OPS - Coordinator Ii at CVS Health

Hartford, Connecticut, United States

CVS Health Logo
$38,480 – $80,746Compensation
Junior (1 to 2 years)Experience Level
Full TimeJob Type
UnknownVisa
HealthcareIndustries

Requirements

  • Minimum of 1+ years QNXT claims experience (reading or processing of claims)
  • Excellent written communication skills
  • Exhibits Heart at Work Behaviors
  • Meeting or Exceeding all scorecard objectives for a rolling 12 months
  • Strong analytical and research skills
  • High School Diploma or equivalent

Responsibilities

  • Support the PIAB Overpayment Recovery Department in a production and quality environment
  • Validate claims to determine if they are overpaid based on Aetna Policy and guidelines

Skills

Key technologies and capabilities for this role

QNXTclaims processingMicrosoft ExcelMicrosoft OutlookMicrosoft TeamsOPTDocument ViewerCEQGPSHRPACASE

Questions & Answers

Common questions about this position

What is the pay range for this Coordinator II position?

The typical pay range for this role is $18.50 - $38.82 per hour, with the actual offer depending on factors like experience, education, and geography.

What are the required qualifications for this role?

Required qualifications include a minimum of 1+ years QNXT claims experience, excellent written communication skills, exhibiting Heart at Work Behaviors, meeting or exceeding scorecard objectives for a rolling 12 months, and strong analytical and research skills.

What is the work schedule like for this position?

This is a full-time role with 40 anticipated weekly hours and a flexible schedule with start times ranging between 5:00 AM and 9:30 AM in your specific time zone; late day meetings may occasionally be required.

What benefits does CVS Health offer?

Benefits include affordable medical plan options, a 401(k) plan with matching company contributions, employee stock purchase plan, no-cost wellness programs, paid time off, flexible work schedules, family leave, tuition assistance, and more.

What preferred qualifications would make me stand out for this role?

Preferred qualifications include basic experience in Microsoft Applications (Outlook, Excel, TEAMS), experience in a production/quality environment, and experience in tools like OPT, Document Viewer, CEQ, GPS, HRP, QNXT, ACAS.

CVS Health

Comprehensive pharmacy and healthcare services

About CVS Health

CVS Health operates a large network of retail pharmacies and walk-in medical clinics across the United States, providing a variety of health-related products and services. Their offerings include prescription medications, over-the-counter health products, and beauty items, as well as pharmacy benefits management and specialty pharmacy services. CVS Health's integrated business model allows them to serve individual consumers, businesses, and communities effectively, with a focus on improving health outcomes and reducing healthcare costs. Unlike many competitors, CVS Health combines pharmacy services with medical care, making it easier for patients to access quality healthcare. The company's goal is to enhance access to healthcare and support individuals in achieving better health.

Woonsocket, Rhode IslandHeadquarters
1963Year Founded
DEBTCompany Stage
Healthcare, Consumer GoodsIndustries
10,001+Employees

Benefits

Health Insurance
Dental Insurance
Vision Insurance
Life Insurance
Disability Insurance
401(k) Retirement Plan
Company Equity
Wellness Program
Professional Development Budget
Paid Vacation
Paid Holidays

Risks

Legal challenges related to opioid prescriptions could harm CVS's reputation and finances.
The DOJ's intervention in a whistleblower lawsuit may increase legal costs for CVS.
The Horizon Organic Milk recall exposes potential vulnerabilities in CVS's supply chain.

Differentiation

CVS Health operates over 9,600 retail pharmacies and 1,100 walk-in clinics nationwide.
The company integrates pharmacy benefits management with specialty pharmacy services for comprehensive care.
CVS Health offers tailored medication plans through personalized medicine and pharmacogenomics.

Upsides

Expansion of telehealth services allows CVS to reach more patients remotely.
Increased consumer interest in wellness boosts demand for CVS's health-related products.
The trend towards value-based care aligns with CVS's integrated healthcare approach.

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