Quality Specialist jobs in United States
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CVS Health · 5 hours ago

Quality Specialist

CVS Health is focused on creating a more connected and compassionate health experience. The Quality Specialist acts as a quality champion, measuring and monitoring work processes in claim processing and customer service to enhance customer satisfaction and operational efficiency.

Health CareMedicalPharmaceuticalRetailSales
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H1B Sponsor Likelynote

Responsibilities

Executes both routine and non-routine business support tasks for the Sr Quality Specialist area under limited supervision, referring deviations from standard practices to managers
Follows area protocols, standards, and policies to provide effective and timely support
Acts as a subject matter expert on Quality Specialist workflows, policies, systems requirements, and enhancements as well as daily operations and programs to consistently drive optimal results
Works in a production environment to conduct standard quality reviews and audits to proactively measure and monitor team compliance with published policies, and procedures, to effectively meet customer and regulatory guidelines
Owns responsibility for supporting targeted quality audit projects, reporting overall results, and making recommendations regarding training needs, quality controls, and procedures to senior management
Takes direction to execute techniques, processes, and responsibilities

Qualification

Quality auditsMicrosoft OfficeHealthcare experienceCritical thinkingAudit experienceMedicare experienceCommunicationProblem solvingDecision making

Required

1+ year working with Microsoft office (Excel, Outlook, Teams, Power Point)
Critical thinking
Strong communication skills and working with other teams
If near an office location; Onsite is required 3 days
High school diploma or equivalent required

Preferred

1+ years audit experience working in a production environment
1+ years working in a healthcare environment
1+ years Medicare experience
Working knowledge of problem solving and decision making skills

Benefits

Affordable medical plan options
401(k) plan (including matching company contributions)
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

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CVS Health is a health solutions company that provides an integrated healthcare services to its members.

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 Company
Total Funding
$4B
Key Investors
Michigan Economic Development CorporationStarboard Value
2025-08-15Post Ipo Debt· $4B
2025-07-17Grant· $1.5M
2019-11-25Post Ipo Equity

Leadership Team

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David Joyner
President and Chief Executive Officer, CVS Health
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Chandra McMahon
SVP & CISO
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Company data provided by crunchbase