- Scottsdale, AZ
As a Testing Representative , you will be part of an extremely talented team within our Health Plan Client Benefits testing department at CVS Health. In this role you will be responsible for analyzing client requests and performing the necessary benefits testing and quality assurance validation. Working alongside other Benefits Coders and Testers as well as our Requirements team to deliver high quality support to our vast number of clients. You will be responsible for building tests on client intent and then running claim validation for correct copay and drug list, which is 60% of your day.
To be successful in this role you should:
• Have general understanding of plan benefit design
• Have high attention to detail will be working contractual accounts for accuracy and turnaround time performance guarantee
• Be reliable in a fast paced environment
• Be Flexible adaptive to change
• Self-sufficient proactive positive solutions oriented person
• Be eager to learn test scenario analysis apply it and adopt best practice ongoing
• Be able to be focused on delivering high testing quality outcomes
• 1+ years of professional work experience in Claims, Insurance, QA, Testing, or a high-production environment
• 1+ years of Microsoft Office applications experience
• Knowledge of the Pharmacy Benefit Management and/or Health Insurance Industry from an operations perspective
• Experience working in SalesForce.com, RxClaim/AS400
• High School Diploma or GED equivalent
It's a new day in health care.
Combining CVS Health and Aetna was a transformative moment for our company and our industry, establishing CVS Health as the nation's premier health innovation company. Through our health services, insurance plans and community pharmacists, we're pioneering a bold new approach to total health. As a CVS Health colleague, you'll be at the center of it all.
At CVS Health, we work every day to help people on their path to better health. Never has it been more important for us to deliver on our purpose to our valued customers, patients, members, and employees. With a presence in communities across the country, CVS Health colleagues are and will continue to be a critical piece of the country's health care solution. The health and safety of our employees, patients, customers, and members is our top priority as we face the impact of COVID-19 together. If you would like to learn about the actions we are taking as a company as we learn more about COVID-19 and its spread, we encourage you to visit our COVID-19 resource center at https://cvshealth.com/covid-19
We offer a diverse work experience that empowers colleagues for career success. In addition to skill and experience, we also seek to attract and retain colleagues whose beliefs and behaviors are in alignment with our core values of collaboration, innovation, caring, integrity and accountability.
CVS Health is an equal opportunity/affirmative action employer. Gender/Ethnicity/Disability/Protected Veteran - we highly value and are committed to all forms of diversity in the workplace. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities. We comply with the laws and regulations set forth in the following EEO is the Law Poster: EEO IS THE LAW and EEO IS THE LAW SUPPLEMENT . Please note that we only accept applications for employment via this site.
We provide reasonable accommodations to qualified individuals with disabilities. If you need to request an accommodation, a qualified interpreter, written information in other formats, translation or other services, please contact our Advice and Counsel Reasonable Accommodations team by emailing Advice and Counsel Reasonable Accommodations team or calling 877-805-9511.
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