Senior Case Benefit Specialist (Operations) - Remote Opportunity

Remote Full-time
We are seeking a highly skilled and experienced Senior Case Benefit Specialist to join our team at CVS Health. As a Senior Case Benefit Specialist, you will have the opportunity to work remotely and enjoy the freedom and flexibility that comes with it. This role offers a competitive salary of $30/hour, commensurate with experience, and a comprehensive benefits package.
In this position, you will be responsible for reviewing, investigating, and resolving complex, sensitive, and specialized cases in accordance with state-driven experience handling guidelines. You may be required to learn multiple Medicaid plans and have experience in claims processing. If you have a strong analytical mindset, excellent problem-solving skills, and the ability to navigate complex systems, we encourage you to apply.
Required Qualifications:

2 years of clinical claims handling experience (Commercial, Medicaid, Medicare, etc.)
Experience in a production environment
Analytical skills, with the ability to navigate complex systems, including claims processing software
Proven ability to handle multiple tasks with accuracy and efficiency
Proficiency in MS Office Suite applications and keyboard navigation skills

Preferred Qualifications:

QNXT claims handling experience
Experience with Edifecs

What We Offer:

Competitive salary of $30/hour
Comprehensive benefits package, including medical, dental, and vision coverage
401(k) retirement savings plan and Employee Stock Purchase Plan
Term life insurance, short-term and long-term disability benefits
Wellness programs, education assistance, and free development courses
CVS store discount and discount programs with participating partners
Paid time off, holidays, and vacation time

CVS Health is an equal opportunity employer and is committed to selecting, recruiting, creating, progressing, and holding people with disabilities. We endeavor to provide equal access to the benefits and rewards of employment, including the provision of reasonable accommodations to perform essential job functions.
If you are a motivated and experienced professional looking for a new challenge, please click the apply button to submit your application. We look forward to hearing from you!
Apply Now

Apply Now

Apply Now β†’

Similar Jobs

Experienced Registered Behavior Technician for In-Home ABA Therapy - Atlanta, GA

Remote

Immediate Hiring: Experienced Registered Behavioral Technician (RBT) for Clinic-Based ABA Therapy Services

Remote

Experienced Registered Behavioral Technician (RBT) - ABA Therapy for Children with Autism Spectrum Disorder

Remote

Experienced Registered Nurse - Telehealth: Providing Remote Care Coordination and Patient Support

Remote

Experienced Substitute Teacher for Riverside County Schools - Join Scoot Education's Innovative Team

Remote

Experienced Substitute Teacher for San Bernardino County - Flexible Schedules & Competitive Pay

Remote

Experienced School Year Instructional Coach for High-Dosage Tutoring Programs in Edgewater Park, NJ

Remote

Experienced School Year Tutor for K-8 Students in Math and Literacy - Mickleton, NJ

Remote

Experienced Secondary Social Studies Teacher for Kansas - Flexible Hybrid Remote Arrangement

Remote

USPS Office Helper

Remote

VP of Engineering - REMOTE

Remote

Brand Accountant

Remote

Event Manager, CDO Magazine

Remote

Remote Live Chat Customer Support Specialist – Entry‑Level, Flexible Hours, Customer Experience & Sales Enablement at careerzynith

Remote

Building Automation Service Specialist ? Calibration Technician

Remote

**Experienced Customer Service Representative – Work from Home Opportunity with blithequark**

Remote

Experienced Cloud Security Customer Engineer – Remote Work from Home Opportunity

Remote

Remote Clinical Research Coordinator (PST/EST/CST Timezone)

Remote

Customer Service Agent – 2nd/3rd Shift Remote Support for Clinical Trial Software – Indianapolis Metro Area

Remote

**Experienced Full Stack Customer Service Representative – Virtual Collections Specialist**

Remote
← Back