Recovery Savings Analyst

CVS Health Santa Fe, NM

Company

CVS Health

Location

Santa Fe, NM

Type

Full Time

Job Description

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver.

Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. Position Summary

This position will be responsible for utilizing previous ACAS claims experience along with provided guidance to review and validate claims for overpayment.The ideal candidate will be able to work independently and with others to review claims tied to different overpayment projects in the Overpayment Tracking System, revalidate overpayment files, send claims to rework and verify accuracy when needed. The position requires strong verbal and written communication skills and a comprehensive understanding of ACAS claims overpayment scenarios. These skills will be utilized to meet recovery targets.

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Responsibilities include:

• Follow validation instructions provided by our constituents to properly review ACAS claims for overpayment
• Utilize GPS for claim review
• Utilize SCM where appropriate for claim review
• Process overpayment correspondences

• Process Availity portal messages
• Refer claims in the ACAS overpayment system to GPS to rework claims after validating as overpaid

Required Qualifications • 1 years experience working with GPS and ECHS
• Knowledge of ACAS claims systems
• Familiarity with e.Policies Education

Bachelor degree in Accounting, Finance or a closely-related field, or an equivalent combination of formal education and recent related experiencePay Range

The typical pay range for this role is:$18.50 - $38.82This 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.

In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company's 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off ("PTO") or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.

For more detailed information on available benefits, please visit Benefits | CVS HealthWe anticipate the application window for this opening will close on: 01/31/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

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Date Posted

01/23/2025

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