Help transform healthcare while working from home. CVS Health is looking for experienced claim professionals ready to take on a meaningful role that combines technical expertise with compassionate service.
About CVS Health
CVS Health is the nation’s leading health solutions company, serving millions of Americans through local presence, digital innovation, and more than 300,000 colleagues. With a mission to build a world of health around every consumer, CVS Health delivers care that is more connected, convenient, and compassionate.
Schedule
- Full-time, 40 hours per week
- Remote position with nationwide availability (50 locations)
What You’ll Do
- Review and adjudicate complex medical claims in line with plan guidelines
- Apply medical necessity rules, verify coverage, and identify discrepancies
- Handle customer inquiries related to pre-approvals, appeals, and reconsiderations
- Train, mentor, and support junior claim benefit specialists
- Identify and report claim irregularities, including overpayments or underpayments
What You Need
- Minimum 18 months of medical claim processing experience
- Experience in a production-driven environment
- Strong multitasking skills with proven accuracy and efficiency
- High School Diploma required (Associate’s degree preferred)
Preferred
- Self-Funding experience
- DG system knowledge
Benefits
- Competitive pay range: $18.50 – $42.35 per hour (plus bonuses and incentives)
- Affordable medical plan options, 401(k) with company match, and stock purchase plan
- Wellness programs, tuition assistance, family leave, flexible schedules, and more
Application window closes October 31, 2025—apply now before it’s gone.
Build your career while making a real impact in healthcare.
Happy Hunting,
~Two Chicks…