Encounter Data Analyst- DSNP (Dual Eligible Special Needs Plan)
CVS Health
•$43,888 - $93,574
About The Position
The Encounter Data Analyst supports CVS Health’s growing Dual Eligible Special Needs Plan (DSNP) business. The role is suited to an individual with claims experience and familiarity with the 837 standard claims format. The analyst owns 837 file transmissions to states, manages and acts on state response files, and ensures transactions are complete and error-free. The role also manages and completes error corrections to meet state requirements.
Requirements
- At least 1 year of experience with encounter data, medical claims, or Medicare/Medicaid.
- At least 1 year of experience using FTP and data transfer software.
- At least 1 year of data management experience.
- Bachelor’s degree or equivalent work experience.
Nice To Haves
- Experience with Microsoft Access databases.
- Analytical skills and the ability to identify and resolve data discrepancies.
- Working knowledge of 837 claims files.
Responsibilities
- Own 837 file transmissions to states.
- Manage and act on state response files.
- Ensure all transmitted transactions are complete and error-free.
- Manage and complete error corrections to meet state requirements.
Benefits
- Medical coverage
- Dental coverage
- Vision coverage
- Paid time off
- Retirement savings options
- Wellness programs
- Other resources, based on eligibility
- Eligible for a CVS Health bonus, commission, or short-term incentive program
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What This Job Offers
Job Type
Full-time
