Medical Claim Analyst

CVS Health

Medical Claim Analyst reviewing post-service claims for reimbursements and eligibility for CVS Health. Collaborating with various teams to ensure compliance and completion of claims.

Posted 5/14/2026full-timeRemote • North Dakota • 🇺🇸 United StatesJuniorMid-Level💰 $19 - $39 per hourWebsite

About the role

Key responsibilities & impact

Responsible for post-service claim review to determine reimbursement to providers and members
Start the CCR process with claim submission and complete review of claim and claim history
Organize and prioritize work to meet regulatory and CCR claim turnaround times
Work with internal and external departments to accurately review specified claims

Requirements

What you’ll need

2+ years experience handling multiple assignments competently
Knowledge of utilization management rules and regulations
Claims Processing/customer service experience preferred
Verifiable High School Diploma or GED

Benefits

Comp & perks

Medical coverage
Dental coverage
Vision coverage
Paid time off
Retirement savings options
Wellness programs

ATS Keywords

✓ Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

claims processingutilization management

Soft Skills

organizational skillsprioritizationcommunication

Certifications

High School DiplomaGED