Quality Specialist Job at CVS Health (Franklin)

Quality Specialist

CVS Health

Location:
United States , Franklin

Category:
Quality Control

Contract Type:
Not provided

Salary:

17.00 - 28.46 USD / Hour

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Job Description:

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Job Responsibility:

Acts as an advocate and subject matter expert guiding the business by serving as a quality champion through measuring and monitoring the quality and effectiveness of work processes in claim processing and customer service that impact customer satisfaction, medical cost management, and operational efficiency
Consults cross-functionally with other departments to influence and promote change, to continually deliver quality service to both internal and external customers
Performs regular quality audits for service operations for multiple products and platforms to drive full and consistent compliance to all required standards
Executes both routine and non-routine business support tasks for the Sr Quality Specialist area under limited supervision, referring deviations from standard practices to managers
Follows area protocols, standards, and policies to provide effective and timely support
Acts as a subject matter expert on Quality Specialist workflows, policies, systems requirements, and enhancements as well as daily operations and programs to consistently drive optimal results
Works in a production environment to conduct standard quality reviews and audits to proactively measure and monitor team compliance with published policies, and procedures, to effectively meet customer and regulatory guidelines
Owns responsibility for supporting targeted quality audit projects, reporting overall results, and making recommendations regarding training needs, quality controls, and procedures to senior management
Takes direction to execute techniques, processes, and responsibilities

Requirements:

1+ year working with Microsoft office (Excel, Outlook, Teams, Power Point)
Critical thinking
Strong communication skills and working with other teams
High school diploma or equivalent required

Nice to have:

1+ years audit experience working in a production environment
1+ years working in a healthcare environment
1+ years Medicare experience
Working knowledge of problem solving and decision making skills

What we offer:

Affordable medical plan options
401(k) plan (including matching company contributions)
Employee stock purchase plan
No-cost programs for all colleagues including 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:
February 21, 2026

Expiration:
February 24, 2026

Employment Type:

Fulltime

Work Type:

Hybrid work

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