Position Summary:As a Senior Quality Assurance Consultant, you will fulfill the company purpose of helping people on their path to better health by driving quality execution of PBM functional area performance. The Quality Assurance department is responsible for monitoring the performance of individual business operations within the PBM that support all Government market segments (Medicare, Medicaid, Exchanges and the Health Insurance Marketplace). You and your team will identify emerging issues, monitor the effectiveness of controls and processes, and assist in developing process controls in partnership with the business to improve outcomes.
In this role, you will also:
Up to 20% travel is required.
- Evaluate performances using various techniques, standards and methodologies
- Validate compliance with government regulations and internal processes and procedures
- Interact and consult with internal and external business partners
- Identify and capture key quality performance metrics with a focus on managing and controlling regulatory risk.
- 1+ years of Customer Service experience
- 6+ months of data analysis experience
- 1+ year Call Center experience
- 1+ year Quality Assurance/Process Improvement experience
- 1+ year Project Management/Presentation experience
- Strong communication skills
- Ability to think creatively
- Verifiable High School diploma
- 2 years of college preferred
CVS Health, through our unmatched breadth of service offerings, is transforming the delivery of health care services in the U.S. We are an innovative, fast-growing company guided by values that focus on teamwork, integrity and respect for our colleagues and customers. What are we looking for in our colleagues? We seek fresh ideas, new perspectives, a diversity of experiences, and a dedication to service that will help us better meet the needs of the many people and businesses that rely on us each day. As the nation’s largest pharmacy health care provider, we offer a wide range of exciting and fulfilling career opportunities across our three business units – MinuteClinic, pharmacy benefit management (PBM) and retail pharmacy. Our energetic and service-oriented colleagues work hard every day to make a positive difference in the lives of our customers.
CVS Health is an equal opportunity employer. We do not discriminate in hiring or employment against any individual on the basis of race, ethnicity, ancestry, color, religion, sex/gender (including pregnancy), national origin, sexual orientation, gender identity or expression, physical or mental disability, medical condition, age, veteran status, military status, marital status, genetic information, citizenship status, unemployment status, political affiliation, or on any other basis or characteristic prohibited by applicable federal, state or local law. CVS Health will consider qualified job candidates with criminal histories in a manner consistent with federal, state and local laws. CVS Health will not discharge or in any other manner discriminate against any Colleague or applicant for employment because such Colleague or applicant has inquired about, discussed, or disclosed the compensation of the Colleague or applicant or another Colleague or applicant. Furthermore, 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
Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. If you require assistance to apply for this job, please contact us by clicking EEO AA CVS Health
CVS Health does not require nor expect that applicants disclose their compensation history during the application, interview, and hiring process.
For inquiries related to the application process or technical issues please contact the Kenexa Helpdesk at 1-855-338-5609. For technical issues with the Virtual Job Tryout assessment, contact the Shaker Help Desk at 1-877-987-5352. Please note that we only accept resumes via our corporate website: https://jobs.cvshealth.com/