Senior Trainer - Special Investigations Claims (Remote)

Senior Trainer - Special Investigations Claims (Remote)

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.

The Senior Trainer who will support the Special Investigations team will design, develop, and deliver detailed curriculum and subsequent training sessions to company-designated audiences of learners in the Claims area.

Key Responsibilities

• Independently oversees and leads the virtual environment for long-term and complex training situations, managing all aspects of student performance and feedback to management. Coaches, mentors, and oversees others in both technical and behavioral skills for development purposes.
• Provides Coordinators the training and support and reviewing claims for potential acts of healthcare fraud and abuse by both members and providers.
• Provides direction and counsel on the handling of claims and facilitates issue resolution.
• Proficient in researching information and identifying information resources.
• Ensures compliance with Federal and State Fraud mandates.
• Maintains a positive organizational climate.
• Collaborates with compliance and senior leadership.
• Contributes to the development and delivery of educational awareness and training programs that meet or exceed those required by state mandates.
• Update and maintaining the SIU Prevention team Hub.
• Reviews and responds to all Quality first audit rebuttals.

Required Qualifications

Preferred Qualifications

Education

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The Typical Pay Range For This Role Is $21.10 - $40.90

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.

Benefits

For more information, visit https : / / jobs.cvshealth.com / us / en / benefits

We anticipate the application window for this opening will close on : 10 / 10 / 2025

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

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