CVS Health is looking for a Senior Coordinator, Accounting to join our dynamic Medicare Risk Adjustment Team. This full-time role offers the opportunity to work in a fast-paced, collaborative environment focused on ensuring accurate member eligibility verification and compliance with CMS requirements.
What You'll Do
- Conduct member eligibility verifications via portal lookups and outreach calls.
- Collect and enter coordination of benefits (COB) data for CMS submissions.
- Maintain and update assigned financial reports.
- Assist with ESRD tracking and submission processes.
- Reconcile payments and report on ESRD special status.
- Ensure compliance with CMS deadlines and reporting requirements.
- Work independently while following established schedules and procedures.
What We're Looking For
- Minimum of 2 years of experience in financial reporting, data management, or analysis.
- Proficiency in Microsoft Excel, including VLOOKUP, Pivot Tables, and data filtering.
- High School diploma, G.E.D., or equivalent experience required.
Nice to Have
- Experience with Medicare programs, ESRD, and MSP (Medicare Secondary Payor).
- Familiarity with CMS systems such as MARX.
- Strong attention to detail and organizational skills.
- Ability to work independently and manage multiple priorities.
- Effective problem-solving and analytical skills.
Technical Stack
- Microsoft Excel
Team & Environment
You will be joining the Medicare Risk Adjustment Team.
Benefits & Compensation
- Compensation: $18.50 - $35.29 per hour
- Affordable medical plan options
- 401(k) plan with matching company contributions
- Employee stock purchase plan
- No-cost wellness screenings, tobacco cessation, and weight management programs
- No-cost confidential counseling and financial coaching
- Paid time off
- Flexible work schedules
- Family leave
- Dependent care resources
- Colleague assistance programs
- Tuition assistance
- Retiree medical access
Work Mode
This is a remote position.
CVS Health is passionate about transforming health care and caring for people in a way that is more connected, convenient, and compassionate. We are committed to fostering a workplace where every colleague feels valued and that they belong.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
