Senior Quality Consultant, CVS Health

CVS Health

Location:
United States, Work From Home

Category:
Quality Control

Contract Type:
Employment contract

Salary:

18.50 - 42.35 USD / Hour

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Job Description:

Quality check complex benefit information, including non-standard plan language into crisp, compliant, easy-to-understand plan language for self-funded plans. This includes analyzing, drafting, editing, and reviewing all legal and regulatory plan documentation for our self-funded plan customers.

Job Responsibility:

Quality check complex benefit information including non-standard plan language into crisp, compliant, easy-to-understand plan language for self-funded plans
Analyzing, drafting, editing, and reviewing all legal and regulatory plan documentation (SPDs, plan amendments, SBCs and restates) for self-funded plan customers
Basic understanding of regulations, laws, and internal procedures impacting self-funded health plans with attention to ensuring compliance with federal and state law
Successfully negotiate deadlines when appropriate
influences change/enhancement to business processes, policies, and system infrastructure to improve information quality, availability, and access
Deliver high-quality documentation ensuring department standards are met with focus on correcting errors in spelling, grammar, and formatting
May participate in implementation of department projects as needed

Requirements:

3-5 years of plan writing experience supporting self-funded or fully insured plans
Proficiency with Microsoft Office Word, Excel, SharePoint and Outlook applications
Associates degree or equivalent work experience

Nice to have:

Adept at problem solving and decision making skills
Quality Improvement Associate Certification (CQIA)
Interpersonal skills to include written and verbal communication, critical thinking, persuasiveness, advising and counseling skills
Ability to anticipate workload needs and to follow through with minimum direction
Effective time management, organizational and prioritization skills
Strong attention to detail and accuracy performing at high levels in a fast paced and constantly changing work environment

What we offer:

Affordable medical plan options
401(k) plan with matching company contributions
Employee stock purchase plan
No-cost 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:
November 06, 2025

Expiration:
November 07, 2025

Employment Type:

Fulltime

Work Type:

Remote work

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Senior Quality Consultant