Encounter Data Analyst- DSNP (Dual Eligible Special Needs Plan)
At a glance
Mid-level Data Analysis & BI role at Cvshealth. Remote, United States · full-time · $43,888–$93,574 base.
dataroles summary, based on the employer's posting.
What you'll do
- Transmit 837 files to state agencies, checking each submission for completeness and errors
- Work through state replies and correct failed transactions to satisfy state requirements
- Track and manage encounter submissions from transmission through correction
What you bring
- At least one year handling encounter data, medical claims, or Medicare and Medicaid work
- At least one year using FTP or data-transfer software
- At least one year managing data
Who this fits
This full-time remote role suits someone with claims experience and familiarity with the 837 format. It is based remotely in the United States.
From the employer
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.
Position Summary
The growing DSNP business has created an opportunity for an individual with claims experience, who is familiar with the 837 standard claims format.
This individual will own 837 file transmissions to the states, manage and act on state response files, ensuring that all transactions transmitted are complete and error free.
Manage and complete error corrections to meet state requirements.
Required Qualifications
- 1+ year of experience with encounter data, medical claims, or Medicare/Medicaid.
- 1+ year of experience using FTP and data transfer software.
- 1+ year of data management experience.
Preferred Qualifications
- Experience with Microsoft Access Databases.
- Analytical skills with the ability to identify and resolve data discrepancies.
- Working knowledge of the 837 claims files.
Education
- Bachelors degree or equivalent work experience
Anticipated Weekly Hours
40Time Type
Full timePay Range
The typical pay range for this role is:
$43,888.00 - $93,574.00This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people
We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
Additional details about available benefits are provided during the application process and on Benefits Moments.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
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