CVS Health is Hiring: Senior Quality Specialist in Pennsylvania

Health Care
Alabama, USA
August 10, 2026
CONTRACTOR FULL_TIME INTERN

Job Description

Are you passionate about improving healthcare systems and ensuring the highest level of quality for patients and customers? CVS Health is currently hiring a Senior Quality Specialist to join their dedicated team in Pennsylvania.

In this essential quality assurance role, you will act as a subject matter expert, auditing operations and guiding business workflows to ensure total compliance. If you have a background in health insurance, diagnosis codes, and quality review, this is a fantastic opportunity to build a connected and compassionate healthcare experience for millions of people.

Job Overview

  • Hiring Company: CVS Health
  • Job Role: Senior Quality Specialist
  • Job Location: Pennsylvania, USA (Regional Office)
  • Employment Type: Full-Time
  • Estimated Salary: $18.50 – $38.82 per hour (Plus bonus/incentive potential)
  • Industry: Healthcare / Quality Assurance – QA/QC

What You Will Do

As a Senior Quality Specialist, you will act as a quality champion, measuring and monitoring the effectiveness of claim processing and customer service workflows. Your daily responsibilities will include:

  • Quality Audits: Performing regular reviews and targeted quality audits across multiple products and platforms to ensure strict compliance with regulatory standards.
  • Cross-Functional Support: Collaborating with other departments to resolve process issues, promote operational change, and improve customer satisfaction.
  • Data Reporting: Managing routine and non-routine business tasks, reporting audit results, and making strategic recommendations to senior management.
  • Workflow Optimization: Serving as the subject matter expert on quality policies, system requirements, and daily operations to drive optimal business results.

What You Need to Succeed

CVS Health is looking for an analytical, detail-oriented professional who can operate with limited supervision. To qualify, you must possess:

  • Experience: At least 2+ years of experience in health insurance, healthcare quality review, and working with medical terminology and diagnosis codes.
  • Technical Skills: Moderate to advanced proficiency in Microsoft Excel (including V-lookups, pivot tables, and advanced formulas).
  • Education: A High School Diploma or equivalent GED is required (a college degree is preferred).
  • Core Competencies: Strong problem-solving abilities, excellent decision-making skills, and the capacity to execute complex processes accurately.
  • Bonus Qualifications: Prior claims processing or DG (Data Governance) experience will help you stand out.

About CVS Health

CVS Health is on a mission to simplify healthcare and build a world of health around every individual. By joining their team, you will be surrounded by passionate colleagues who innovate with purpose and prioritize safety in everything they do. CVS Health offers a highly competitive benefits package that includes medical, dental, and vision coverage, retirement savings options, paid time off, and wellness programs designed to support your physical and financial well-being.

How to Apply

Ready to make a massive impact on the quality of healthcare? Update your resume highlighting your Excel skills, health insurance background, and auditing experience, and apply directly through the CVS Health careers portal before the application window closes on August 11, 2026.

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