CVS Health
QA Manager, Internal Claims Auditing
Albany, New York 12207 · US
Montgomery, Alabama 36104 · US
Little Rock, Arkansas 72201 · US
Phoenix, Arizona 85001 · US
Sacramento, California 95814 · US
Denver, Colorado 80202 · US
Hartford, Connecticut 06103 · US
Washington Dc, District of Columbia 20001 · US
Dover, Delaware 19901 · US
Tallahassee, Florida 32301 · US
Atlanta, Georgia 30303 · US
Des Moines, Iowa 50309 · US
Boise, Idaho 83702 · US
Springfield, Illinois 62701 · US
Indianapolis, Indiana 46225 · US
Topeka, Kansas 66603 · US
Frankfort, Kentucky 40601 · US
Baton Rouge, Louisiana 70802 · US
Boston, Massachusetts 02201 · US
Annapolis, Maryland 21401 · US
Augusta, Maine 04330 · US
Lansing, Michigan 48933 · US
Saint Paul, Minnesota 55101 · US
Jefferson City, Missouri 65101 · US
Jackson, Mississippi 39205 · US
Helena, Montana 59623 · US
Raleigh, North Carolina 27601 · US
Bismarck, North Dakota 58501 · US
Lincoln, Nebraska 68502 · US
Concord, New Hampshire 03301 · US
Trenton, New Jersey 08608 · US
Santa Fe, New Mexico 87501 · US
Carson City, Nevada 89701 · US
Columbus, Ohio 43215 · US
Oklahoma City, Oklahoma 73102 · US
Salem, Oregon 97301 · US
Harrisburg, Pennsylvania 17101 · US
Providence, Rhode Island 02895 · US
Columbia, South Carolina 29217 · US
Pierre, South Dakota 57501 · US
Nashville, Tennessee 37219 · US
Austin, Texas 78701 · US
Salt Lake City, Utah 84111 · US
Richmond, Virginia 23219 · US
Montpelier, Vermont 05602 · US
Olympia, Washington 98507 · US
Madison, Wisconsin 53703 · US
Charleston, West Virginia 25301 · US
Cheyenne, Wyoming 82001 · US
About the role
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
Leads and manages the QA team by setting strategic objectives and ensuring the implementation of effective quality assurance processes. Collaborates with cross-functional teams to define testing requirements, develop test plans, and ensure timely and thorough testing of software products. Analyzes testing metrics, provides reports to stakeholders, and drives continuous improvement in QA practices to deliver high-quality and reliable software solutions.
Required Qualifications
- 5-7 years work experience in a claims or claims audit position.
- Adept at execution and delivery (planning, delivering, and supporting) skills
- Adept at business intelligence
- Adept at problem solving and decision making skills
- Adept at collaboration and teamwork
- Adept at growth mindset (agility and developing yourself and others) skills
Preferred Qualifications
- 5+years of quality management, audit, compliance or operational quality experience
- Adept at growth mindset (agility and developing yourself and others) skills
- Demonstrated experience using quality metrics, KPIs, dashboards, and business intelligence tools to identify trends and present recommendations to senior leadership
- Experience leading root-cause analysis, corrective and preventive action (CAPA), risk mitigation, and continuous-improvement initiatives.Demonstrated ability to lead cross-functional initiatives, manage competing priorities, develop employees, and communicate effectively with senior stakeholders.
Education
- Post secondary /high school education or specialized training, i.e., technical/vocational programs or equivalent work experience.
Anticipated Weekly Hours
40Time Type
Full timePay Range
The typical pay range for this role is:
$54,300.00 - $159,120.00This 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 offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.Additional details about available benefits are provided during the application process and on Benefits Moments.
We anticipate the application window for this opening will close on: 10/30/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.