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Senior Analyst Claim Reporting and Special Services

United States, Hartford Employment contract 46988.00 - 112200.00 USD / Year · Job Posted July 13, 2026
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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

  • Oversee and coordinate rework projects
  • Work closely with other members of the Commercial Services Operations team providing project management, root cause analysis and precise resolution of affected claims
  • Ensure the project stays on track, is resolved accurately, interfaces with appropriate areas and is handled by the due date
  • Serve as a Project Lead for rework projects/issues for a specific network or large-scale rework projects generated as a result of Plan Sponsor issues, release fallout and/or legal/regulatory/compliance concerns

Requirements

  • 2+ years experience processing claims through the ACAS system
  • Ability to work independently as well as part of the team
  • contributing to overall effectiveness of the team
  • Ability to analyze data
  • Able to successfully cope with the high demands of the job while effectively maintaining personal composure
  • Initiative to improve personal performance as well as those of peers and team
  • High School diploma, G.E.D. or equivalent experience

Nice to have

USQA reporting, Excel, Word and ACCESS would be a plus

What we offer

  • Medical, dental, and vision coverage
  • Paid time off
  • Retirement savings options
  • Wellness programs

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