Senior Quality Specialist- Meritain Health
Remote · USFull-time$18.5–38.82/hrPosted 1 day agoStill listed today
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At a glance
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Job overview
The Senior Quality Specialist serves as a quality champion for claim processing and customer service, measuring and monitoring work processes that affect customer satisfaction, medical cost management, and operational efficiency. The role consults across departments to promote change and conducts quality audits across products and platforms to support compliance with required standards. It also supports audit projects, reports results, and recommends training, controls, and procedural improvements.
Skills & qualifications
Skills
Qualifications
Benefits
Full job description
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 Acts as an advocate and subject matter expert guiding the business by serving as a quality champion through measuring and monitoring the quality and effectiveness of work processes in claim processing and customer service that impact customer satisfaction, medical cost management, and operational efficiency. Consults cross-functionally with other departments to influence and promote change, to continually deliver quality service to both internal and external customers. Performs regular quality audits for service operations for multiple products and platforms to drive full and consistent compliance to all required standards.
Additional Responsibilities to include but not limited to the following:
- 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.
- Conducts 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.
Required Qualifications
- 2+ years of health insurance work experience and/or Healthcare Insurance Quality Review
- 2+ years of experience working with diagnosis codes and medical terminology.
- Moderate to advanced knowledge of Excel (V-lookups, pivot tables, and/or formulas)
Preferred Qualifications
- Working knowledge of problem solving and decision making skills
- College degree preferred
- Claims experience
- DG experience
Education
- High School Diploma or equivalent GED
Anticipated Weekly Hours 40
Time Type Full time
Pay Range The typical pay range for this role is:
$18.50 - $38.82 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: 11/04/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
How this job compares
Set against the 5,112 open Quality Assurance jobs on Olive Jobs, counted October 31, 2026.
- Pay
- This posting$18.5–38.82/hr
- Minnesota median$26–33/hr51 hourly ranges
- US median$26–31/hr843 hourly ranges
This range's midpoint, $28.66/hr, is close to the Minnesota median midpoint ($29/hr) — in the middle half of Quality Assurance hourly ranges in Minnesota.
- Openings
- Olive Jobs lists 135 open Quality Assurance jobs in Minnesota and 5,112 across the US. 3% of them nationwide are listed as remote or flexible.
- Hiring the most in Minnesota
- Actalent12 open
- State of Minnesota6 open
- Careerflow4 open
- Experience
- This posting asks for at least 2 years of experience; Quality Assurance postings that state a minimum ask for 4 years at the median (3,927 postings).
- Education
- This posting asks for a high school diploma; 2,612 of the 5,112 open Quality Assurance jobs (51%) ask for a high school diploma or higher.
Counted across the open, public US postings on Olive Jobs on October 31, 2026. Pay medians are the middle values of the low ends and of the high ends of postings that list both ends of a range in the same cadence (a yearly salary or an hourly rate); a range's midpoint is halfway between its ends. Pay and experience figures resting on fewer than 20 postings are left out.
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