Job Description
• Conduct standard quality reviews/audits to measure compliance with published policies, procedures, customer, and regulatory guidelines.
• Identify and distribute errors to business partners.
• Perform root cause analysis and/or analyze data to identify and communicate trends in day-to- day work (e.g., quality of results, efficiencies of processes, etc.)
• Responsible to support targeted quality audit projects, including peer reviews.
• Subject matter expert on workflows, policies, components of systems and on daily operations and programs
• Use analytical and statistical techniques and tools to plan and perform research and analysis of processes (e.g., outcomes performance guarantees, government regulations, and customer requirements, etc.) to recommend enhancements and workable solutions by cost benefit analysis
• Responsible to support targeted quality audit projects.
• Report results and make recommendations (e.g., training needs, quality controls and procedures)
• In partnership with business owners, support the design and development of new processes
• Develop and implement quality programs and initiatives.
• Participate in the research and validation of drafting language formats
• Develop and deliver Quality Hour sessions following team guidelines and mentor Drafters
• May provide guidance or expertise to quality staff
• Facilitate team sessions to develop processes and/or resolve issues
• Support the creation of communication strategies and presentations for internal customers to educate and address continuous quality improvement initiatives
• Identify and recommend internal and external benchmarks and appropriate measures for performance evaluation
• May, under supervision, develop quality assessment/audit/measurement programs tailored to specific assignments
• Analyze customer feedback and other measures
Required Qualifications
• Prior experience as a Drafter required
• Experience with PEOs needed
• Requires experience with PCC tools, including BPLV & HMD
• Must have a good working knowledge of Legislation
• Knowledge of Traditional Products needed
COVID Requirements
COVID-19 Vaccination Requirement
CVS Health requires its Colleagues in certain positions to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, pregnancy, or religious belief that prevents them from being vaccinated.
Preferred Qualifications
3-5+ years work experience in the drafting role with a proven
track record of proficiency in the competencies noted. Audit experience is a plus.
Education
High School diploma or equivalent.
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.
Job ID: 32348
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