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Labcorp

Specimen Accessioner

Columbia, SC 29223

Are you organized, accountable, and have always gone the extra mile to make sure things are done right? Imagine the impact those skills can have in ensuring the accuracy of millions of healthcare tests, every month. If you share our passion for strengthening physician care, please apply for the Specimen Accessioner position! LabCorp is seeking a dedicated and motivated individual to join their Specimen Processing and Accessioning team. The Specimen Accessioner will be responsible for performing clinical specimen accessioning, sample sorting and data entry in a fast-paced, high-throughput environment according to established standard operating procedures. Requirements High School Diploma or equivalent No relative experience required; 1-2 years preferred Previous medical or production experience is a plus Comfortable handling biological specimens Ability to accurately identify specimens Experience working in a team environment Strong data entry and organizational skills High level of attention to detail Proficient in MS Office Ability to lift up to 40lbs. Ability to pass a standardized color blind test Job Duties/Responsibilities: Prepare laboratory specimens for analysis and testing Unpack and route specimens to their respective staging areas Accurately identify and label specimens Pack and ship specimens to proper testing facilities Meet department activity and production goals Properly prepare and store excess specimen samples Data entry of patient information in an accurate and timely manner Work Schedule: Monday - Friday 5:00pm - 11:00pm Benefits: Employees regularly scheduled to work 20 or more hours per week are eligible for comprehensive benefits including: Medical, Dental, Vision, Life, STD/LTD, 401(k), Paid Time Off (PTO) or Flexible Time Off (FTO), Tuition Reimbursement and Employee Stock Purchase Plan. Casual, PRN & Part Time employees regularly scheduled to work less than 20 hours are eligible to participate in the 401(k) Plan only. For more detailed information, please click here. If you're looking for a career that offers opportunities for growth, continual development, professional challenge and the chance to make a real difference, apply today! Labcorp is proud to be an Equal Opportunity Employer: Labcorp strives for inclusion and belonging in the workforce and does not tolerate harassment or discrimination of any kind. We make employment decisions based on the needs of our business and the qualifications and merit of the individual. Qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, childbirth, or related medical conditions), family or parental status, marital, civil union or domestic partnership status, sexual orientation, gender identity, gender expression, personal appearance, age, veteran status, disability, genetic information, or any other legally protected characteristic. Additionally, all qualified applicants with arrest or conviction records will be considered for employment in accordance with applicable law. We encourage all to apply If you are an individual with a disability who needs assistance using our online tools to search and apply for jobs, or needs an accommodation, please visit our accessibility site or contact us at Labcorp Accessibility. For more information about how we collect and store your personal data, please see our Privacy Statement.

Posted 5 days ago

CVS Health

Senior Analyst, IT SOX Audit

Columbia, SC 29217

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. Position Summary The Senior Analyst (IT SOX), Corp IT Audit will be a key member of the Technology Controls Assurance (TCA) Internal Audit team and will participate in the execution of the annual Sarbanes-Oxley (SOX) internal audit, and promote collaboration with our business partners, external auditors, and management. The position assists with the annual planning process and supervises the execution of SOX testing. This role will be responsible for continually evaluating and recommending operational and process improvements to our IT compliance processes, and the efficiency and effectiveness of the company’s key control structure. This role is responsible for delivering high quality IT SOX internal audit results under the direction of the TCA Senior Managers and Director. Responsibilities Audit Execution Effectively perform and document IT SOX audit activities in accordance with professional standards and the organization’s audit methodology. Execute testing and create work paper documentation. Understand procedures, results and business impacts; and document and express such understanding in both written and verbal form. Perform detail testing as defined by the test program to define, analyze and validate information. Create clear and accurate documentation and workflows of technology processes and testing results and exceptions. Lead individual project components and testing areas; oversee the work of more junior auditors and/or interns. Audit Reporting/Communication Interacts with various levels of Internal Audit and business line management to resolve issues in a timely manner and to maintain effective communications. Reports related audit findings to audit and business management. Audit Team Support Meets administrative reporting requirements and supports department initiatives. Demonstrates a commitment to integrity and the company code of conduct, and a respect for diversity and inclusion. Contribute to overall Internal Audit Department team norms to promote a positive environment and improve team effectiveness. Keep current of relevant technology developments and evolving IT risk areas. Required Qualifications 2+ years experience in IT SOX Audit, IT SOX Compliance, Control Validation, Risk Assessment, or Risk Consultant role Certified Information Systems Auditor (CISA) Certification or CISA in progress. Ability to travel regionally up to 10%. Preferred Qualifications Prior experience working in a large corporation and/or in related fields (e.g., Health Insurance, Retail, etc.) Familiarity with the following concepts: Information Risk Frameworks (NIST 800-53, COBIT 5, ISO/IEC 27001/2, HITRUST, PCI DSS), eGRC tools, and IIA Standards; Data Privacy regulations and industry standards (e.g. HIPAA, GDPR, CCPA); Cloud environments and data classification and protection concepts; IT processes - including applications and infrastructure, security and vulnerability assessments, change control, asset management, disaster recovery, data privacy, and IT risk assessment, automated control environments, cybersecurity best practices, cloud security controls etc. Experience demonstrating analytical, deductive, and critical thinking behaviors. Good teamwork and collaboration skills. Solid meeting management and written communication skills. Education Bachelor’s degree in a relevant field such as Information Technology, Accounting, Finance. Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $46,988.00 - $122,400.00 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: 10/03/2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Posted 5 days ago

CVS Health

Manager, Business Compliance

Columbia, SC 29217

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. **Candidate must reside in the EST or CST** Position summary Manger level position that applies expertise in compliance, legal and communication skills to support manage and develop compliant strategies. Responsibilities include monitoring, investigating training/education enforcement, reporting, collaborating and consulting with business leaders, engaging with key stakeholders on compliance related issues to meet regulatory and legal obligations to prevent, detect, and mitigate compliance risks. Functional Supports the implementation and maintenance of an effective Compliance program supporting First Health, Aetna Signature Administrators, and American Health Holding, including, but not limited to risk assessments, auditing and monitoring, maintaining effective compliance policies and procedures, as well as developing effective communications and trainings when needed. Prepares regulatory reports, regulatory filings and follow up activity as needed, and manages regulatory complaint review and audit activities. Independently manages multiple complex regulatory interactions, including drafting regulatory correspondence, responding to regulatory inquiries, and negotiating resolution of regulatory matters, requiring a sophisticated understanding of business processes and regulatory requirements. Leads complex compliance business process reviews, corrective actions, and other projects involving internal and external constituents. Independently develops strategy, processes, forms and related materials to meet complex regulatory and legal requirements. Builds and maintains positive, productive relationships with internal and external constituents at the varying leadership levels, and can remove significant barriers, drive decision-making, and influence ethical and compliant outcomes at all levels necessary to accomplish goals. Independently identifies and assesses the complex compliance issues and risks, engages appropriate enterprise resources, supports internal and external constituents in the development and monitoring of effective corrective action and risk mitigation plans, and supports related activities and communications. Responds to complex requests for information within one’s area of responsibility from internal and external constituents Acts as a resource and subject matter expert for colleagues and effectively guides business partners and teams to accomplish complex goals. Required Qualifications 5+ years’ experience in a regulatory compliance position in healthcare. Demonstrated working knowledge of federal laws concerning healthcare and health insurance law, including federal healthcare reform, HIPAA, ERISA, No Surprise Act, and federal and state Mental Health Parity laws Demonstrated working knowledge of state insurance laws and the relationship between state and federal laws. Ability to quickly develop an understanding of Aetna’s Commercial and Wholesale business products and services Ability to organize and lead important meetings with varying levels of leadership, and report out critical information and important updates as needed Excellent written and verbal communication skills Adept at problem solving and decision-making skills Excellent collaboration skills and can thrive in a team setting Preferred Qualifications Familiarity with provider directory requirements and laws Experience with clinical operations – utilization management, case management, disease management. Experience with URAC and NCQA accreditation requirements Experience collaborating with legal counsel to help advise internal and external customers Education Bachelor’s degree preferred or a combination of professional work experience and education. Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $54,300.00 - $159,120.00 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: 10/04/2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Posted 5 days ago

CVS Health

Service Advocate – Fully Remote

Columbia, SC 29217

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. Position Summary Are you passionate about helping others and have a talent for problem-solving? Join our team as a Service Advocate. In this role, you will work alongside peers who handle Medicare individual inbound calls, serving as a crucial support system for Customer Service Representatives (CSRs). Your role will involve assisting CSRs with questions and workflows during active calls, providing accurate and timely support. You will also directly handle escalated member issues, working to de-escalate and resolve concerns efficiently. As the Single Point of Contact for handling escalated member service inquiries, you will act with fast knowledge using integrated service tools, engaging, consulting, and educating members based on their unique needs and preferences. Key Responsibilities: Provide support and guidance to CSRs during active calls, helping them navigate questions and workflows. Handle escalated member service inquiries and issues, working to de-escalate and resolve concerns efficiently. Engage with and educate members based on their unique needs and preferences, using integrated service tools. Act as a knowledge resource for CSRs, helping to improve their performance and understanding of company services. Required Qualifications 1+ years of Customer experience Strong problem-solving skills with demonstrated ownership qualities. Empathy, compassion, and excellent listening skills. Ability to de-escalate situations and remain calm under pressure. Exceptional verbal and written communication skills. Leadership abilities and experience in dealing with member escalations. Ability to mentor, train, and motivate employees, offering feedback for performance improvement. Ability to multitask, identify trends, and maintain attention to detail. Experience in leading and promoting change within organizational structures. Preferred Qualifications 1+ years of Medicare experience. Intermediate skills with Windows-based applications. Previous experience handling escalated member issues. Effective communication and documentation skills. Quick learner with the ability to apply new skills quickly. Strong analytical skills focusing on accuracy and attention to detail. Understanding of medical terminology and strong problem-solving and negotiation skills. Computer literacy to navigate internal/external systems. Bilingual Spanish Education High School diploma or equivalent. Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $17.00 - $34.15 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. 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: 11/03/2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Posted 5 days ago

CVS Health

Product and Regulatory Approvals – State Consultant

Columbia, SC 29217

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. Position Summary The Product and Regulatory Approvals - State Consultant is responsible for researching, analyzing, and interpreting state regulatory requirements, developing and drafting state-specific benefit contract language, preparing and managing regulatory submissions and negotiating to approval, and various compliance activities all in support of development, implementation and ongoing support of CVS Health products, programs and initiatives. Responsibilities & Duties: - Develop, draft, submit and negotiate timely approval of high-quality regulatory filings that comply with state and federal regulatory requirements, support business requirements, and meet business expectations and needs. - Proactively project manage each filing project, working with internal business partners, counsel, and regulators to ensure accurate and compliant contract content that achieves business objectives: - Negotiate and resolve business or compliance conflicts and product/business changes. - Facilitate and expedite resolution of issues pertaining to product and legislative filings. - Proactively manage relationships with business partners and regulators. - Provide timely follow-up and response. - Negotiate regulatory objections. - Obtain regulatory approvals within aggressive timelines. - Effectively manage multiple complex filings, projects, and priorities (often simultaneously) to ensure that filings and projects reflect P&RA and business priorities and meet P&RA filing deadlines and metrics. Provide early alerts to management when deadlines are in jeopardy and strategize with management on solutions. - Adhere to regulatory and internal filing requirements and procedures. - Build, maintain and promote positive and effective working relationships with state/federal regulators, internal business partners, and legal/compliance partners. - Work closely with counsel and compliance staff to promote and enforce compliance with state/federal laws and regulations and implementation of risk management policies. - Effectively use P&RA filing and reporting systems and company resources (e.g., QuickBase, SharePoint). - Identify opportunities to streamline processes and improve efficiencies within P&RA and with key business partners. - Exhibit behaviors and values outlined in CVS Health's How We Work Behaviors and the P&RA Way, acting with professionalism and integrity. - Effectively communicate with multiple levels of the organization. - Serve as a regulatory subject matter expert for business, compliance, and legal partners. Required Qualifications 3+ years of insurance industry, regulatory and/or legal experience. Preferred Qualifications Excellent analytical, problem solving, and critical thinking. Ability to navigate multiple software environments/technically savvy. Strong project management skills, the ability to manage multiple priorities simultaneously, and proven ability to work both independently and on a team. Excellent written and verbal communication skills, and the ability to interact effectively with different audiences. The ability to "manage up" and communicate effectively with various levels of the organization. Demonstrated ability to take on progressively more challenging projects. Strong understanding of the healthcare industry and regulatory environment, including in-depth knowledge of Aetna products, services, business units and administrative procedures strongly preferred. Experience with SERFF, QuickBase and SharePoint a plus. Paralegal certificate. Education Bachelor's degree required or equivalent years of relevant experience. Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $46,988.00 - $112,200.00 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: 09/30/2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Posted 5 days ago

CVS Health

Senior Analyst, Business Analytics

Columbia, SC 29217

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. Position Summary The Sr. Business Analyst supports Medicaid Enrollment Operations by making data accessible and actionable for teams and stakeholders. They apply statistical methods, data mining, and predictive modeling to uncover trends and help guide decisions. This role involves working cases, mailbox management and creating reports that help guide decision-making and identify opportunities for improvement. Collaboration with cross-functional teams is key to understanding business needs and delivering data-driven solutions. Ideal candidates bring a strong grasp of the agile lifecycle and its impact on enrollment projects. Excellent verbal, written, and presentation skills are required to maintain stakeholder engagement. They support downstream functions and vendors through performance analysis, trend identification, and effective communication across teams and leadership. Flexibility to contribute to ad hoc projects is essential. Required Qualifications 2+ years experience in project management, process improvement, and cross-functional collaboration. 2+ years experience with data analytics tools (e.g., SQL, SAS, Tableau, Excel) and business intelligence platforms 2+ years creating documentation that translates Ability to translate business needs into technical requirements and vice versa. Preferred Qualifications Able to create new reporting. Envisions, codes and implements data and report automation tools and processes to improve reporting efficiency and accuracy. Extensive use of tools such as Microsoft Excel, Power BI and SQL requiring advanced skills. Able to write code and queries using languages such as R and SQL to capture, clean, consolidate, store, access, audit, visualize, trend and report on vendor performance data. Familiarity with Medicare and Medicaid regulations. Education Associates degree or equivalent experience. Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $46,988.00 - $122,400.00 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: 09/09/2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Posted 5 days ago

CVS Health

Senior Analyst, IT SOX Audit

Columbia, SC 29217

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. Position Summary The Senior Analyst (IT SOX), Corp IT Audit will be a key member of the Technology Controls Assurance (TCA) Internal Audit team and will participate in the execution of the annual Sarbanes-Oxley (SOX) internal audit, and promote collaboration with our business partners, external auditors, and management. The position assists with the annual planning process and supervises the execution of SOX testing. This role will be responsible for continually evaluating and recommending operational and process improvements to our IT compliance processes, and the efficiency and effectiveness of the company’s key control structure. This role is responsible for delivering high quality IT SOX internal audit results under the direction of the TCA Senior Managers and Director. Responsibilities Audit Execution Effectively perform and document IT SOX audit activities in accordance with professional standards and the organization’s audit methodology. Execute testing and create work paper documentation. Understand procedures, results and business impacts; and document and express such understanding in both written and verbal form. Perform detail testing as defined by the test program to define, analyze and validate information. Create clear and accurate documentation and workflows of technology processes and testing results and exceptions. Lead individual project components and testing areas; oversee the work of more junior auditors and/or interns. Audit Reporting/Communication Interacts with various levels of Internal Audit and business line management to resolve issues in a timely manner and to maintain effective communications. Reports related audit findings to audit and business management. Audit Team Support Meets administrative reporting requirements and supports department initiatives. Demonstrates a commitment to integrity and the company code of conduct, and a respect for diversity and inclusion. Contribute to overall Internal Audit Department team norms to promote a positive environment and improve team effectiveness. Keep current of relevant technology developments and evolving IT risk areas. Required Qualifications 2+ years experience in IT SOX Audit, IT SOX Compliance, Control Validation, Risk Assessment, or Risk Consultant role Certified Information Systems Auditor (CISA) Certification or CISA in progress. Ability to travel regionally up to 10%. Preferred Qualifications Prior experience working in a large corporation and/or in related fields (e.g., Health Insurance, Retail, etc.) Familiarity with the following concepts: Information Risk Frameworks (NIST 800-53, COBIT 5, ISO/IEC 27001/2, HITRUST, PCI DSS), eGRC tools, and IIA Standards; Data Privacy regulations and industry standards (e.g. HIPAA, GDPR, CCPA); Cloud environments and data classification and protection concepts; IT processes - including applications and infrastructure, security and vulnerability assessments, change control, asset management, disaster recovery, data privacy, and IT risk assessment, automated control environments, cybersecurity best practices, cloud security controls etc. Experience demonstrating analytical, deductive, and critical thinking behaviors. Good teamwork and collaboration skills. Solid meeting management and written communication skills. Education Bachelor’s degree in a relevant field such as Information Technology, Accounting, Finance. Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $46,988.00 - $122,400.00 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: 10/03/2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Posted 5 days ago

CVS Health

Customer Service Representative – Behavioral Health (Monday-Friday 10:45am -7:15pm EST)

Columbia, SC 29217

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. Position Summary CVS Aetna has an opportunity available for a full time Customer Service Representative in the Behavioral Health team. This role provides advocate care to assist the member with a clear path to care, claims understanding and resolution and educates the member with online resources. The Customer Service Representative guides the member through their members plan of benefits, Aetna policy and procedures as well as having knowledge of resources to comply with any regulatory guidelines. Position Overview Schedule: Monday-Friday 10:45am -7:15pm EST. Schedules subject to change at any time with advanced notice due to business need. Holiday/PTO Requirements: As a 24-hour call center operation, we will treat holidays as normal working business days, unless you have been approved for time off. This means you would work your normal shift if the Company Observed Holiday falls on your normal workday. No PTO available the first 45 days of employment. Training Requirements: First six weeks of employment will be training on Monday-Friday 9:00AM-5:30PM EST. What you will do Creates an empathetic connection with our members by understanding and engaging the member to the fullest to champion for our members' best health. Taking accountability to fully understand the member’s needs by building a trusting and caring relationship with the member. Anticipates customer needs by answering unasked questions. Performs review of member claim history to ensure accurate tracking of benefit maximums and/or coinsurance/deductible. Performs financial data maintenance as necessary. Explains member's rights and responsibilities in accordance with contract. Workspace Requirements Must have a quiet/secure workspace in your home. Recommended Technical requirements when obtaining your own residential internet service. Select an internet service that is either broadband or fiber (e.g., Verizon Fios, Comcast). Select a minimum of 25mbps/3mbps. Remember, the higher the speed, the faster your internet. A hardwired connection is required (ethernet connection); a wireless connection will introduce the risk of performance degradation. Consider the internet usage of others in the household during your scheduled working hours. You may need to obtain a higher speed internet connection so your ability to perform your work is not affected. Streaming video content and gaming will significantly reduce the amount of bandwidth available for your corporate equipment. Required Qualifications 1+ years of experience in a call center environment. Experience using Microsoft Office products’ specifically Excel, Outlook, and Word. Preferred Qualifications Previous Behavioral Health, Medical, or Insurance background. Experience working from home in a remote role. Education High School Diploma or GED. Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $17.00 - $34.15 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: 09/17/2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Posted 5 days ago

CVS Health

Manager, Business Compliance

Columbia, SC 29217

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. **Candidate must reside in the EST or CST** Position summary Manger level position that applies expertise in compliance, legal and communication skills to support manage and develop compliant strategies. Responsibilities include monitoring, investigating training/education enforcement, reporting, collaborating and consulting with business leaders, engaging with key stakeholders on compliance related issues to meet regulatory and legal obligations to prevent, detect, and mitigate compliance risks. Functional Supports the implementation and maintenance of an effective Compliance program supporting First Health, Aetna Signature Administrators, and American Health Holding, including, but not limited to risk assessments, auditing and monitoring, maintaining effective compliance policies and procedures, as well as developing effective communications and trainings when needed. Prepares regulatory reports, regulatory filings and follow up activity as needed, and manages regulatory complaint review and audit activities. Independently manages multiple complex regulatory interactions, including drafting regulatory correspondence, responding to regulatory inquiries, and negotiating resolution of regulatory matters, requiring a sophisticated understanding of business processes and regulatory requirements. Leads complex compliance business process reviews, corrective actions, and other projects involving internal and external constituents. Independently develops strategy, processes, forms and related materials to meet complex regulatory and legal requirements. Builds and maintains positive, productive relationships with internal and external constituents at the varying leadership levels, and can remove significant barriers, drive decision-making, and influence ethical and compliant outcomes at all levels necessary to accomplish goals. Independently identifies and assesses the complex compliance issues and risks, engages appropriate enterprise resources, supports internal and external constituents in the development and monitoring of effective corrective action and risk mitigation plans, and supports related activities and communications. Responds to complex requests for information within one’s area of responsibility from internal and external constituents Acts as a resource and subject matter expert for colleagues and effectively guides business partners and teams to accomplish complex goals. Required Qualifications 5+ years’ experience in a regulatory compliance position in healthcare. Demonstrated working knowledge of federal laws concerning healthcare and health insurance law, including federal healthcare reform, HIPAA, ERISA, No Surprise Act, and federal and state Mental Health Parity laws Demonstrated working knowledge of state insurance laws and the relationship between state and federal laws. Ability to quickly develop an understanding of Aetna’s Commercial and Wholesale business products and services Ability to organize and lead important meetings with varying levels of leadership, and report out critical information and important updates as needed Excellent written and verbal communication skills Adept at problem solving and decision-making skills Excellent collaboration skills and can thrive in a team setting Preferred Qualifications Familiarity with provider directory requirements and laws Experience with clinical operations – utilization management, case management, disease management. Experience with URAC and NCQA accreditation requirements Experience collaborating with legal counsel to help advise internal and external customers Education Bachelor’s degree preferred or a combination of professional work experience and education. Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $54,300.00 - $159,120.00 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: 10/04/2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Posted 5 days ago

CVS Health

Service Advocate – Fully Remote

Columbia, SC 29217

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. Position Summary Are you passionate about helping others and have a talent for problem-solving? Join our team as a Service Advocate. In this role, you will work alongside peers who handle Medicare individual inbound calls, serving as a crucial support system for Customer Service Representatives (CSRs). Your role will involve assisting CSRs with questions and workflows during active calls, providing accurate and timely support. You will also directly handle escalated member issues, working to de-escalate and resolve concerns efficiently. As the Single Point of Contact for handling escalated member service inquiries, you will act with fast knowledge using integrated service tools, engaging, consulting, and educating members based on their unique needs and preferences. Key Responsibilities: Provide support and guidance to CSRs during active calls, helping them navigate questions and workflows. Handle escalated member service inquiries and issues, working to de-escalate and resolve concerns efficiently. Engage with and educate members based on their unique needs and preferences, using integrated service tools. Act as a knowledge resource for CSRs, helping to improve their performance and understanding of company services. Required Qualifications 1+ years of Customer experience Strong problem-solving skills with demonstrated ownership qualities. Empathy, compassion, and excellent listening skills. Ability to de-escalate situations and remain calm under pressure. Exceptional verbal and written communication skills. Leadership abilities and experience in dealing with member escalations. Ability to mentor, train, and motivate employees, offering feedback for performance improvement. Ability to multitask, identify trends, and maintain attention to detail. Experience in leading and promoting change within organizational structures. Preferred Qualifications 1+ years of Medicare experience. Intermediate skills with Windows-based applications. Previous experience handling escalated member issues. Effective communication and documentation skills. Quick learner with the ability to apply new skills quickly. Strong analytical skills focusing on accuracy and attention to detail. Understanding of medical terminology and strong problem-solving and negotiation skills. Computer literacy to navigate internal/external systems. Bilingual Spanish Education High School diploma or equivalent. Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $17.00 - $34.15 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. 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: 11/03/2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Posted 5 days ago