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**

+ Perform claims analysis related to disputes, legal matters, state complaints, provider inquiries, and internal team inquiries.
+ Determine whether any claim payment or denial issues are present, particularly those that may affect utilization management, enrollment, claims, configuration, network, contracting and/or provider data.
+ Submit the necessary documents (if issues are identified) to specific areas, in an effort to ensure all is updated and corrected.
+ Submit all projects and/or claims to be r...