Senior Consultant

Job Description
Provides consultation on the design, testing and enhancement of claim and contract configuration setup including technical support to external providers and internal customers. Researches, manipulates and prepares complex data to document program activities and reports on its results. Provides oversight to data quality and provides feedback to various areas in order to improve service delivery and enhancement to data configuration efforts. Develops a consultative relationship with external providers and internal customers.

Required Qualifications
-Demonstrated ability to handle multiple assignments.
-Excellent verbal and written communication skills
-Extensive experience with databases as well interpretation and manipulation of related data
-Healthcare background
- Medical claims processing background
- Strong Excel skills

Preferred Qualifications
- 3-5 years of certified medical coding experience.
- 3-5 years of health contract analysis experience.
- 1-2 years of project management experience.
- 1-2 years of working with providers.
- QNXT Experience
- SQL Experience
- Technical (medical) coder certification or equivalent work experience.

Bachelor's degree and 3+ years of relevant experience preferred

Business Overview
At Aetna, a CVS Health company, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.

We are committed to maintaining a diverse and inclusive workplace. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, gender, gender identity, age, disability or protected veteran status. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.