Quality Specialist

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.Position Summary The Specialty Quality Specialist reviews prescription and/or service complaints to understand the cause of the reported experience. The review process includes the identification of root cause, contributing factors, and trends related to the Specialty patient experience. Quality incidents are entered into the appropriate database tracking system. Further, the Quality Specialist supports the maintenance of reporting leveraged by leaders of the Specialty Quality and Pharmacy Operations departments. The role ensures timely and accurate data population to satisfy business needs and performance guarantees. The Quality Specialist must proactively identify process improvement opportunities, support changes that improve member experience and help coordinate cross functionally to ensure consistency in the Review process.Required Qualifications

• 1+ year of SPRx experience
• 1+ years of Data interpretation and analysis experience
• Proven ability to support and manage multi-faceted initiatives.
• Demonstrate effective and high-quality execution to meet deliverables and tasks in appropriate timelines.
• Excellent presentation and communication skills/techniques
• Ability to work collaboratively in a cross-functional team environment.
• Demonstrate flexibility in supporting rapid adjustments to strategy and priorities to meet changing business requirements.

Role is Remote, but must live within 75 miles of a Specialty Pharmacy to qualify

• Monroeville, PA
• Redlands, CA
• Orlando, FL
• Tampa, FL
• Raleigh, NC
• Fairfield, NJ
• Troy, MI
• Flower Mound, Tx

Preferred Qualifications

• 3+ years prior related work experience
• 1+ year of Specialty Event Tracker Database experience (SEVE)
• Associate degree preferred

Education

High school diploma and/or equivalent required Anticipated Weekly Hours
40Time Type
Full timePay Range

The typical pay range for this role is:$18.50 - $35.29This 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.Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.Great benefits for great peopleWe take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

For more information, visit https://jobs.cvshealth.com/us/en/benefitsWe anticipate the application window for this opening will close on: 08/21/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Client-provided location(s): Harrisburg, PA

Job ID: CVS-R0681745

Employment Type: FULL_TIME

Posted: 2025-08-20T19:50:19