Woonsocket, Rhode Island, United States · Hybrid
$47k–$112k/yr
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate…
Skills: Claim processing, Project management, Root cause analysis, Data analysis, ACAS system
Woonsocket, Rhode Island, United States · Remote Solely
$17/hr–$31/hr
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate…
Skills: Pharmacy operations, Customer service, Prescription verification, Data entry, Problem solving
Phoenix, Arizona, United States · On-site
$74k–$102k/yr
Job Overview SkyWater Technology is seeking a diligent and organised individual to join our team as an Entry-Level Mailroom Clerk. As a key member of our administrative support staff, you will be responsible for the effi…
Skills: Organizational skills, Attention to detail, Data entry, Communication skills, Time management
Indianapolis, Indiana, United States · On-site
$30/hr–$50/hr
Offshore Oil & Gas Marine Technician Company: Yandt Boat Works Location: Indianapolis, Indiana, United States (Please note: This role is based in Indianapolis but requires extensive travel to offshore locations for proje…
Skills: Marine surveying, Technical inspection, Marine diesel engines, Power generation, Auxiliary systems
Indianapolis, Indiana, United States · Remote Solely
Position Overview: Are you looking for a flexible, rewarding opportunity to work from the comfort of your own home? We’re seeking motivated, detail-oriented individuals to join our dynamic team as Data Entry Clerk / Offi…
Skills: Data Entry, Administrative Support, Document Management, Email Correspondence, Scheduling
Salt Lake City, Utah, United States · Remote Solely
$54k–$80k/yr
Job Title: WFH Collections Representative Company: Aveniya Employment Type: Full-Time & Part-Time Salary: $54,000 - $80,000 USD per annum Job Overview Aveniya was founded to solve a fundamental limitation of conventional…
Skills: Accounts receivable, Collections, Communication, Negotiation, Interpersonal skills
Oklahoma City, Oklahoma, United States · On-site
$27/hr–$46/hr
Job Title: System Administrator Company: A-Better Heat & Air Conditioning Location: Oklahoma City, Oklahoma, United States Employment Type: Full-time Salary: USD $27 - $46 per hour Job Overview A-Better Heat & Air Condit…
Skills: System administration, Network administration, Server configuration, Network security, Firewall management
Kansas City, Missouri, United States · On-site
$170k–$210k/yr
Job Title: Product Manager Company: PI MIDLANTIC Location: Maryland City, Maryland, United States Employment Type: Full-Time Salary: $170,000 - $210,000 USD per annum Job Overview PI MIDLANTIC is a leader in talent optim…
Skills: Product Management, Product Strategy, Product Roadmap, Stakeholder Management, Agile
United States · Remote Solely
$26/hr–$43/hr
Job Title: Call Centre Representative Company: A-Better Heat & Air Conditioning Location: This is a remote position for candidates based in Ohio or Pennsylvania, United States. Employment Type: Full-Time Salary: $26 - $4…
Skills: Customer service, Communication, Problem-solving, Active listening, Time management
Dubai, Dubai, United Arab Emirates · On-site
PrimeBox is a fast-growing storage and logistics company based in Dubai. We offer self-storage, moving & packing and business fulfilment services — and we're expanding. We're looking for a driven Business Development Man…
Skills: Business Development, B2B Sales, B2C Sales, Lead Generation, Negotiation
Muscat, Muscat Governorate, Oman · On-site
نوع العقد وموقع العمل عقد دوام كامل — المركز المؤسسي (مع زيارات للفروع). الهدف العام من الوظيفة بناء وتطوير رأس المال البشري في المدرسة، جذب والاحتفاظ بالكفاءات، ودعم تنفيذ خطة تعظيم الأثر من خلال تطوير الموظفين وتعزيز ث…
Skills: Human Resources Management, Recruitment, Performance Management, Payroll Administration, Training And Development
New York, New York, United States · On-site
We are looking for a master multi-tasker with excellent communication skills and an upbeat attitude. Candidates should be able to assist management and all visitors to the company by handling office tasks, providing poli…
Skills: Communication, Multi-tasking, Scheduling, Filing, Reporting
Muscat, Muscat Governorate, Oman · On-site
About the Opportunity Our client, a well-established organisation in Oman, is seeking a motivated Finance & Accounting Specialist to join its finance team. This role offers an excellent opportunity for finance profession…
Skills: Financial accounting, General ledger, Month-end closing, Year-end closing, Financial reporting
London, England, United Kingdom · Remote Solely
$5/hr–$6/hr
Full-Time Independent Contractor | Remote | North America-Facing Role | $5 - $6 USD / Hour (40-Hours) About The Company Dynamic PMO is a US-based, remote-first company built on the ideal of empowering possibilities throu…
Skills: Sales, Lead Generation, Business Development, CRM Management, Client Outreach
Annapolis, Maryland, United States · Hybrid
Wellness Coach Location: Annapolis, MD (Hybrid) or Remote About is a Talent Optimization consulting firm and Certified Partner of The Predictive Index®. We help organizations strengthen leadership, improve employee engag…
Skills: Wellness coaching, Stress management, Resilience training, Mindfulness, Work-life balance
United States · On-site
$55k–$65k/yr
Job Overview Prime Coat Coating Systems, the sole-source specialist for high-performance fluid-applied floor and wall coating systems, is seeking a professional and diligent Chat Support Representative to join our team. …
Skills: Customer support, Live chat support, Written communication, Technical product knowledge, Multitasking
Los Angeles, California, United States · Remote Solely
About the Role We’re seeking motivated and dedicated individuals to join us as remote customer service representatives. Whether you’re a student, recent graduate, undergraduate, professional, or industry expert, this is …
Skills: Customer service, Communication, Problem-solving, Research, Account management
Phoenix, Arizona, United States · On-site
$28/hr–$50/hr
We are seeking a highly organized and detail-oriented Executive Administrative Assistant to provide administrative and operational support to executive leadership. The ideal candidate will manage executive schedules, coo…
Skills: Executive Support, Calendar Management, Travel Arrangements, Meeting Coordination, Report Preparation
United States · On-site
$23/hr–$27/hr
Job Title: Data Entry Specialist Company: Willison Law, PC Location: United, West Virginia Employment Type: Full-time Salary: $23 - $27 per hour Job Overview Willison Law, PC, a dedicated law firm, is seeking a meticulou…
Skills: Data entry, Attention to detail, Confidentiality, Microsoft Office Suite, Microsoft Excel
Sharjah, Sharjah Emirate, United Arab Emirates · On-site
ERP EXPERIENCE REQUIRED We are looking for an experienced Software Support & Tester to join our ERP software team. The candidate will be responsible for supporting customers, understanding software-related issues, testin…
Skills: ERP Software, Software Testing, Manual Testing, Bug Tracking, Test Case Preparation
Woonsocket, Rhode Island, United States • Hybrid
Sign up with Clera and we'll reach out the moment a role actually fits you — no more spraying applications into the void.
The candidate will oversee and coordinate rework projects, performing root cause analysis and ensuring precise resolution of affected claims. They will serve as a project lead for national or systemic rework projects, ensuring all tasks are completed by the required deadlines.
Candidates must have at least 2 years of experience processing claims through the ACAS system and possess strong analytical skills. A high school diploma or G.E.D. is required, along with the ability to work both independently and as part of a team.
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.
Position Summary:
We are looking for a highly motivated candidate who can effectively and accurately oversee and coordinate rework projects, work closely with other members of the Commercial Services Operations team providing project management, root cause analysis and precise resolution of affected claims. The candidate is responsible for ensuring the project stays on track, is resolved accurately, interfaces with appropriate areas and is handled by the due date.
The candidate will serve as a Project Lead for rework projects/issues for a specific network or large-scale rework projects generated as a result of Plan Sponsor issues, release fallout and/or legal/regulatory/compliance concerns. Projects may be national in scope, specific to a particular health network or state, and/or systemic in nature.
Required Qualifications:
The candidate MUST HAVE knowledge of Aetna claim and provider systems and will be responsible for regular project discussion/updates via conference calls. This candidate should demonstrate a strong work ethic. Being efficient and flexible is essential to the position in order to meet critical turnaround objectives.
Minimum Requirements
Education:
40
Full time
The typical pay range for this role is:
$46,988.00 - $112,200.00
This 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. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.
Transform your vision into reality with our expert construction solutions.
Offices: Dubai, Dubai, AE
View all jobs at Burjline BuildersTransform your vision into reality with our expert construction solutions.
Offices: Dubai, Dubai, AE
View all jobs at Burjline Builders