Senior Claim Benefit Specialist Operations (Encounters)
- AZ - Work from home; Work At Home-Idaho; Work At Home-Arkansas; Work At Home-Vermont; Work At Home-Georgia; Work At Home-Texas; Work At Home-Minnesota; Work At Home-New Mexico; Work At Home-Montana; Work At Home-Iowa; Work At Home-Michigan; Work At Home-Maine; Work At Home-Wisconsin; Work At Home-New York; Work At Home-North Dakota; Work At Home-Kansas; Work At Home-New Jersey; Work At Home-Nebraska; Work At Home-Indiana; Work At Home-Connecticut; Work At Home-Nevada; Work At Home-Louisiana; Work At Home-Tennessee; Work At Home-Kentucky; Work At Home-Mississippi; Work At Home-Ohio; Work At Home-Oklahoma; Work At Home-West Virginia; Work At Home-Massachusetts; Work At Home-Maryland; Work At Home-South Carolina; Work At Home-Alabama; Work At Home-Missouri; Work At Home-Virginia; Work At Home-South Dakota; Work At Home-Illinois; Work At Home-North Carolina; Work At Home-Florida; Work At Home-Colorado; Work At Home-Pennsylvania; Work At Home-New Hampshire; Work At Home-Delaware · Remote
- Full-time
- $18.50 - $35.29
- Posted
Skills
Job description
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
The Senior Claim Benefit Specialist (Encounter Corrections Analyst) researches, reviews, and adjudicates complex, sensitive, and specialized encounters in accordance with state-specific processing guidelines. This role requires medical claims processing experience and may involve supporting multiple Medicaid plans. Specialists correct encounters accurately and efficiently in a fast-paced production environment.
Drive timely resolution of encounter errors using available resources, tools, and research.
Required Qualifications
Preferred Qualifications
Education
High School Diploma
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$18.50 - $35.29
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.
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.
Great benefits for great people
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.
Additional details about available benefits are provided during the application process and on Benefits Moments .
We anticipate the application window for this opening will close on: 11/13/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.