RN Letter Writer/ Auditor - Weekend Shift - Remote Eligible

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Thursday – Sunday 9:00 AM – 8:00 PM EST with occasional holiday coverage per business needs. Requirement to reside in CST or EST zone.

This is a full-time telework opportunity.

Position Summary

This position is for an RN Letter Writer/ Auditor that will support comprehensive medical services through composition and auditing of approval, partial approval, denial, extension, and request for information letters for the Aetna Medicaid centralized letters team. The letter writer/auditor role assists in maintaining accurate and complete documentation to meet risk management, regulatory, and accreditation requirements. The letter writer/auditor will promote positive communication both internally and externally to enhance effectiveness of medical management services.

Required Qualifications

- Current and unrestricted RN license in the state of residence.

- 2 year(s) experience using personal computer, keyboard navigation, navigating multiple systems and applications, use of Microsoft office suite applications (Teams, Outlook, Word, Excel, etc.)

- Must be willing and able to work Thursday – Sunday 9:00 AM – 8:00 PM EST with occasional holiday coverage per business needs. Requirement to reside in CST or EST zone.

- Requirement to reside in CST or EST zone. Preferred Qualifications

- 1 year of managed care experience

- 1 year clinical experience

Education

Associate Degree in Nursing

Anticipated Weekly Hours

Time Type

Pay Range

The typical pay range for this role is:

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 our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• 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.

For more information, visit https://jobs.cvshealth.com/us/en/benefits

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.