Quality Specialist

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.
 
Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.

Position Summary
The Specialty Quality Specialist reviews prescription and/or service complaints to understand the cause of the reported experience. The review process includes the identification of root cause, contributing factors, and trends related to the Specialty patient experience. Quality incidents are entered into the appropriate database tracking system. Further, the Quality Specialist supports the maintenance of reporting leveraged by leaders of the Specialty Quality and Pharmacy Operations departments. The role ensures timely and accurate data population to satisfy business needs and performance guarantees. The Quality Specialist must proactively identify process improvement opportunities, support changes that improve member experience and help coordinate cross functionally to ensure consistency in the Review process

Required Qualifications

• 1+ year of SPRx experience

• 1+ year of Specialty Event Tracker Database experience (SEVE)

• Proven ability to support and manage multi-faceted initiatives.

• Demonstrate effective and high-quality execution to meet deliverables and tasks in appropriate timelines.

• Excellent presentation and communication skills/techniques

• Ability to work collaboratively in a cross-functional team environment.

• Demonstrate flexibility in supporting rapid adjustments to strategy and priorities to meet changing business requirements.

Preferred Qualifications

• 3+ years prior related work experience

Education

• High school diploma or equivalent required

• Associates degree preferred

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$18.50 - $31.72

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. 
 
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities.  The Company offers a full range of medical, dental, and vision benefits.  Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees.  The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners.  As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.  
 
For more detailed information on available benefits, please visit Benefits | CVS Health

We anticipate the application window for this opening will close on: 02/18/2025

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