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

This role will have a focus on claims training and operational support.

This positions also:

Holds accountability for leading and training new claims team members through the onboarding experience, from initial orientation and training to individual education on job expectations as well as team priorities and responsibilities.Holds accountability for training existing claims team members in upskilling, refresher and error coaching.Designs, develops and delivers curriculum and training sessions to designated audiences of learners.Executes both routine and non-routine business support tasks for the Training Delivery area under limited supervision, referring deviations from standard practices to managers.Follows area protocols, standards, and policies to provide effective and timely support.This is an Individual Contributor role.

Responsibilities

Lead claims training sessions for designated audiencesRevise and customize the curriculum to reflect the unique geographic, product, and/or audience variations.Leads various training development activities and team responsibilities to ensure learning environments are conducive to learning and quality outcomes.Assess the effectiveness of training programs during and at designated intervals after delivery.Collect and share curricula and training event feedback from program participants.Participate in the development effort to enhance the curricula and training events based on that feedback.Develop and conduct follow-up assessments to determine the effectiveness and, when appropriate, ROI of training programs.Generate communications regarding workflow and system updates.Provide SME level support to claims team members for pricing related questions.Troubleshoot system data issues and work with internal partners to resolve.Provide first level quality error review and provide coaching on errors as needed.These responsibilities are included but not limited to other training tasks given by management as needed for the business.

Required Qualifications

2-3 years of experience in and understanding of medical claims and adjustment processing.1-2 years of proven experience in training delivery and facilitation.Strong PC skills and proficiency in MS Office; ability to learn new systems quickly.Excellent written and verbal communication skills.Ability to convey complex information in a clear and concise manner.

Preferred Qualifications

Demonstrates strong facilitation skills.Applies innovative, creative, “out of the box” thinking to problems.Strong analytical, influence, conflict resolution, problem solving, negotiation and project management skills.Excellent oral and written communication, interpersonal and presentation skills.Proactively and quickly learns new systems, tools or content areas to achieve results.Technologically literate – familiar with IT focused frameworks, systems and methodology.Embraces change, ability to see opportunities for change, to capitalize on them and implement them when appropriate, process improvement mindset.Assumes responsibility for personal and professional development.

Education

High school diploma or equivalent required.

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$18.50 - $35.29

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

We anticipate the application window for this opening will close on: 02/26/2026

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