Encounter Data Analyst- DSNP (Dual Eligible Special Needs Plan)
$43.89k - $93.57kCVS Health
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 growing DSNP business has created an opportunity for an individual with claims experience, who is familiar with the 837 standard claims format. This individual will own 837 file transmissions to the states, manage and act on state response files, ensuring that all transactions transmitted are complete and error free. Manage and complete error corrections to meet state requirements. Required Qualifications 1+ year of experience with encounter data, medical claims, or Medicare/Medicaid. 1+ year of experience using FTP and data transfer software. 1+ year of data management experience. Preferred Qualifications Experience with Microsoft Access Databases. Analytical skills with the ability to identify and resolve data discrepancies. Working knowledge of the 837 claims files. Education Bachelors degree or equivalent work experience Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $43,888.00 - $93,574.00 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. 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: 11/09/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. #J-18808-Ljbffr CVS Health
- ...complete and error-free, and you will lead error correction efforts to meet state requirements. Ideal candidates have 1+ year of encounter data or Medicare/Medicaid claims experience, FTP/data transfer skills, and data management experience. This is a full-time role in...SuggestedFull time
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...implementations by providing expertise with data and document content migration,... .... This position may also be eligible for other types of compensation... ..., or ordinances. If you need assistance or accommodation due to a disability or special need when applying for a role or...Special needsPermanent employmentFull timeWork at officeLocal areaRemote workWork from home3 days per week- ...recruiting a Director of Financial Planning and Analysis for a growing... ...processes, automation, data quality, and planning... ..., analysis, reporting, and special projects as needed.Requirements:Bachelor’s degree... ...The individual may also be eligible for discretionary bonuses.Special needsFor contractorsWork at officeLocal area
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Data Center Demand Planning SpecialistLocation: RemoteRole OverviewWe are seeking a Supply Chain Operations... ...reasonable accommodation when needed. If you are hired by Accenture and require... ...Accenture business may not be eligible for consideration.Job candidates will...Live inWork at officeLocal area- CAPTRUST seeks a Wealth Planning Associate to work with our wealth advisory teams, supporting financial planning workflows and onboarding offices onto our planning platform. You will help with data entry in eMoney and develop financial planning knowledge while collaborating...Flexible hours
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...Datavant is the data collaboration platform trusted... ...including providers, health plans, researchers, and life... ...The Customer Insights Analyst will transform customer... ...understand customer needs and business outcomes.... ...religion. This job is not eligible for employment...- ...Summary The Behavior Analyst designs and... ...evaluating client needs, providing parent education... ...treatment plans with a high degree... ...ABA and evidence and data-based analyses. Our... ...team, you will be eligible for: Competitive compensation... ...for serving special needs populations keeps...Special needsFull timeTemporary workPart timeRelocation packageFlexible hours
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- ...Elementary/Early Childhood/Exceptional Needs Wayne, IL Elementary Autism/... ...emotional support, prioritize special education needs as mandated by... ...), and Behavior Intervention Plans (BIP). Social-Emotional... ...opportunities. Other Duties: Perform data collection and recordkeeping...Special needsShift work
- ...Garner, NC center. You will implement individualized ABA plans under supervision, collect data, and engage children in therapeutic activities while... ...certification, 1+ year experience with children or special needs, and CPR certification before #J-18808-Ljbffr Opal AutismSpecial needsFull time
- ...field testing and retinal screenings to eligible patients. Perform exam pre-screening.... ...patient information carefully and identify special needs. Consult with the optician, Doctor or... ...savings with company match and stock purchase plan ~ Parental leave ~ Employee eyewear...Special needsPart timeWork at office
- ...Description: Hybrid onsite as needed for leadership meetings in either... ...Our client seeks a Principal Data Analyst, Data Products to lead enterprise... ...30 or more hours per week are eligible for the following benefits: medical (choice of 3 plans), dental, vision, pre-tax...Hourly payLocal area
$18.5 - $25 per hour
...services and support Implement evidence-based behavior treatment plans, teaching social, communication and life skills Collaborate... ...*Peakon/Workday benchmarking ** BHCOE benchmarking ***Eligible at 30 hours per week Mosaic is an Equal Opportunity Employer...Temporary work- Piedmont Health Services, Inc. is seeking a Health Plan Analyst to ensure contracting and data submissions meet health plan regulations across PACE sites... ..., with travel to PACE Burlington and Pittsboro sites as needed. #J-18808-Ljbffr Piedmont Health Services, Inc.
- ...Operations practice who specializes at the intersection of functional consulting, data, & technology. Our... ...backed portfolio companies need big-picture change, so... ...major leaps forward in planning, procurement, manufacturing... ...business may not be eligible for consideration.Job candidates...Live inWork at officeLocal area
- ...Assessment Instrument (RAI), CAAs and Care Plan. This includes all admission,... ...each patient’s condition and medical data to determine special needs, or the need to amend the admission... ...Medicare stay; be involved in making eligibility determinations Coordinate care with...Special needsLocal areaAll shifts
- ...assessment skills to determine special needs of students. Provides input for program planning and evaluation and contributes to... ...related teaching area. Must be eligible or possess Social Work Certification... ...to a significant degree. Data Conception: Requires the ability...Special needsWork at office
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- ...High School Special Education Teacher Full Description Job Description... ...focus on students' individual needs as defined by each student's... ...curriculum along with a data-driven and student-centered instructional... ...of those an employee encounters while performing the essential...Special needsFull timeLocal areaHome office
$16 - $18 per hour
...orders with adherence to guest requests/special needs in a positive manner Be proactive with... ...wages. Full-time associates are eligible to participate in a comprehensive benefit... ...package, which includes medical/dental/vision plans, life insurance, ST/LT disability options...Special needsFull time- ...Carolinians, providing human service needs for special populations including... ...of WorkThe HIV/AIDS Data Quality Consultant supports... ...that requires independent work planning, consistent communication, and... ...parental leave is available to eligible employees.Visit the website...Work experience placementWork at officeLocal areaNight shift
$20 per hour
...children with autism. We specialize in serving young... ...every child's specific needs in a way that feels more... ...Board-Certified Behavior Analyst (BCBA), the Registered... ...implementation of unique behavior plans developed by the BCBA... ...RBT may also collect data and conduct certain...Special needsHourly payFull timePart timeDay shiftAfternoon shift- ...and social support staff to determine needs, eligibility and services for members. Conduct screening... .... Job Responsibilities: Identify special needs members through the completion of... ...with modification and management of care plans, medical consenter or caregiver, and family...Special needsRemote workFlexible hours
- ...each patient's individualized Plan of Care—in their home,... ...condition and adjust care as needed. Collaborate with an interdisciplinary... ...valid driver's license Specialized Knowledge and Skills: ~... ...minimum requirements to be eligible for benefits Where...Special needsDaily paidFull timeReliefInternshipLocal area
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