Quality Specialist, CVS Health

Quality Specialist

CVS Health

Location:
United States, Franklin

Category:
Quality Control

Contract Type:
Employment contract

Salary:

17.00 - 28.46 USD / Hour

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Job Description:

Supports the business by measuring and monitoring the quality and effectiveness of work processes in claim processing and/or customer service that impact customer satisfaction, medical cost management, and operational efficiency.

Job Responsibility:

Communicates with quality specialists on established procedures to support business tasks for the quality assurance function
Maintains effective relationships with departments and teams to ensure daily communication to resolve issues and prevent delays in service
Defines the organizational standard for quality audits and reviews and instructs associates on how to measure compliance within established guidelines
Assists in the data collection and analysis to identify trends in quality control outcomes
Monitors internal teams and assists with the daily maintenance and operations of business units
Observes team operations and identifies opportunities to maximize business output
Operates within a team of quality specialists and takes direction from senior management on new initiatives
Compiles periodic reports on quality metrics to identify patterns in quality issues
Collects and compiles data across the organization to measure and analyze performance in various operations

Requirements:

Prior Relevant Work Experience (0-6months-Medicare, claims or health insurance)
Working knowledge of problem solving and decision-making skills
Knowledge of Microsoft applications
High school diploma

Nice to have:

2+ years prior relevant work experience
Medicare Knowledge

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
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:
November 06, 2025

Expiration:
November 17, 2025

Employment Type:

Fulltime

Work Type:

Hybrid work

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