Coordinator, Data Administration - Remote
About the Role
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger — helping to simplify health care one person, one family and one community at a time. Position Summary We have an exciting opportunity on the Aetna Pharmacy COB team for a qualified individual to use and develop Core Competencies while contributing to our team and CVS Health’s success. This position involves research and resolution of pharmacy claims billing issues; collecting and analyzing data to identify process gaps and assisting with recoveries. This role will collaborate with a variety of internal and external areas. Working independently is critical to the success of this role, as well as working collaboratively with the rest of the team. Required Qualifications 1+ years experience in healthcare related industry; claims, eligibility and Coordination of Benefits Preferred Qualifications Detail oriented Excellent time management skills Experience in data research and analysis Excellent verbal and written communication skills Working knowledge of Microsoft Office products (Word, Excel, MS Access, PowerPoint, Outlook, Project); Aetna member source systems and CVS claim adjudication system, i.e., RxClaim and PeopleSafe Health care industry experience Education High School Diploma or higher Anticipated Weekly Hours 40 Time Type Full time Pay Range $17.00 – $28.46 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. Great Benefits For Great People We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. #J-18808-Ljbffr
Responsibilities
- Collaborate with internal/external teams to resolve pharmacy claims issues
- Assist with data collection and analysis to identify process gaps
- Support recoveries and coordination of benefits processes
Qualifications
- 1+ years healthcare/claims experience
- Strong data research/analysis
- Proficiency with MS Office and claim adjudication systems
Required Skills
Keywords
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