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Ops Account-OPS - Coordinator II

https://www.cvshealth.com/ Logo

CVS Health

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Location:
United States, Hartford

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Category:
Finance

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Contract Type:
Employment contract

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Salary:

18.50 - 38.82 USD / Hour

Job Description:

Employee will support the PIAB Overpayment Recovery Department, in a production and quality environment, by validating claims to determine if they are overpaid based on Aetna Policy and guidelines.

Job Responsibility:

  • Support the PIAB Overpayment Recovery Department
  • Validate claims to determine if they are overpaid based on Aetna Policy and guidelines

Requirements:

  • A minimum of 1+ years QNXT claims experience (reading or processing of claims)
  • Excellent written communication skills
  • Exhibits Heart at Work Behaviors
  • Meeting or Exceeding all scorecard objectives for a rolling 12 months
  • Strong analytical and research skills
  • High School Diploma or equivalent

Nice to have:

  • Basic experience in Microsoft Applications (Outlook, Excel, TEAMS)
  • Experience in a production/quality environment
  • Experience in OPT, Document Viewer, CEQ, GPS, HRP, QNXT, ACAS
What we offer:
  • Affordable medical plan options
  • 401(k) plan with matching company contributions
  • Employee stock purchase plan
  • Wellness screenings
  • Tobacco cessation and weight management programs
  • Confidential counseling and financial coaching
  • Paid time off
  • Flexible work schedules
  • Family leave
  • Dependent care resources
  • Colleague assistance programs
  • Tuition assistance
  • Retiree medical access

Additional Information:

Job Posted:
September 27, 2025

Expiration:
October 01, 2025

Employment Type:
Fulltime
Work Type:
Hybrid work
Job Link Share:
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