CVS Health · 7 hours ago
Quality Auditor - Underwriting Quality Management
United States
Full-time
Remote
Entry Level
$47K/yr - $112K/yr
1+ years expCVS Health is building a world of health around every individual, aiming to simplify healthcare for communities. The Quality Auditor will be part of the PBM Underwriting Quality Management Team, focusing on conducting audits, identifying improvement areas, and collaborating with various business partners to enhance quality control processes.
Health CareMedicalPharmaceuticalRetailSales
Responsibilities
Collaborate with underwriting, sales, data science, and audit teams to conduct quality audit reviews on a variety of business documentation, processes, and systems. Audit types include but are not limited to the following signed contract review audits and GenAI driven tools to support insights in audit workflows
Drive automation and reporting tools to streamline quality reviews and enhance data transparency
Promptly resolve issues related to audit findings and provide status updates to leadership throughout audit process, e.g., from audit completion through audit finding resolution
Work closely with Business Analytics to identify patterns of procedural errors and improvement areas and to develop actionable solutions
Present quality insights, metrics, and recommendations to senior leadership in a clear, data-supported format
Maintain data-driven KPIs and quality scorecards to monitor underwriting performance, consistency, and compliance
This role requires someone with superior organizational skills, logic and problem-solving skills, including high level of attention to detail and the ability to deliver on multiple and competing priorities
Qualification
Required
Bachelor's degree in Business, Finance, Risk Management, Statistics, or comparable work experience in a related field
Strong attention to detail, evidenced by accurately entering data into spreadsheets, carefully following instructions to complete tasks, and creating records and reports for later reference
Strong time management skills, evidenced by experience being accountable to multiple deliverables on staggered deadlines
Effective communication skills in both formal and informal written communications and speech at all levels of an organization
Preferred
1+ year of audit or underwriting experience, including at least 1 year in a quality assurance capacity
1+ year of experience using Salesforce
Background in PBM industry
Benefits
Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
Company
CVS Health
CVS Health is a health solutions company that provides an integrated healthcare services to its members.
10001+ employees
H1B Sponsorship
CVS Health has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2022 (1)
Funding
Current Stage
Public CompanyTotal Funding
$4BKey Investors
Michigan Economic Development CorporationStarboard Value
2025-08-15Post Ipo Debt· $4B
2025-07-17Grant· $1.5M
2019-11-25Post Ipo Equity
Leadership Team
David Joyner
President and Chief Executive Officer, CVS Health
Chandra McMahon
SVP & CISO
Recent News
The Motley Fool
2026-01-22
bloomberglaw.com
2026-01-22
Company data provided by crunchbase