Senior Medicare Claims & PDE Analyst

CVS Health in Washington state is seeking a claims and PDE reviewer to analyze and resolve PDE rejections and related errors. This role serves as a liaison between the PDE Reporting Team, Eligibility/Reconciliation, and other departments to ensure timely, accurate responses to CMS deadlines.

You will review Acumen Outliers, coordinate research with internal teams, and support weekly PDE meetings while driving continuous improvement in Medicare claims data through root-cause analysis and process

We are currently recruiting a Senior Medicare Claims & PDE Analyst for our team in WA, United States.

We appreciate your interest in this position.

Join CVS Health and contribute to our ongoing work.

Take a moment to read everything above and see whether this role is right for you.

This posting is for the Senior Medicare Claims & PDE Analyst role at CVS Health, based in WA, United States.