Top 50 Cvs work at home Jobs in California

Senior Claim Benefit Specialist - Remote
CVS Health —California
- $18.50 - $42.35 an hour
- Full-time
- Remote
- Mid-level
- High school diploma or GED
- Mentoring
- Health insurance
- Dental insurance
Customer Service Representative, Behavioral Health (Shift: Mon-Fri 11:45AM-8:15PM EST)
CVS Health —California
- $17.00 - $31.30 an hour
- 8 hour shift
- Remote
- Microsoft Excel
- Microsoft Outlook
- Residential
- Health insurance
- Dental insurance
3d
UMNC
CVS Health —California
- $32.01 - $68.55 an hour
- Weekends as needed
- Remote
- Nursing
- RN License
- Computer literacy
- Health insurance
- Dental insurance
5d
Administrative Assistant
CVS Health —California
- $21.10 - $49.08 an hour
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Health insurance
- Dental insurance
10d
Business Analyst, Regulatory Reporting Solutions (Remote)
CVS Health —California
- $43,888 - $102,081 a year
- Full-time
- Remote
- Mid-level
- Bachelor's degree
- Data entry
- Health insurance
- Dental insurance
11d
Senior Investigator, Special Investigations Unit (Aetna SIU)
CVS Health —California
- $46,988 - $112,200 a year
- Full-time
- Remote
- Research
- Mid-level
- 3 years
- Health insurance
- Dental insurance
3d
Inside Sales Rep-Hourly + Commission-Can live anywhere in U.S.
CVS Health —California
- $16.50 - $29.62 an hour
- Full-time
- Remote
- Computer literacy
- Basic math
- Mid-level
- Health insurance
- Dental insurance
12d
Database Automation Engineer
CVS Health —California
- $64,890 - $173,040 a year
- Full-time
- Remote
- Azure
- Software troubleshooting
- Mid-level
- Health insurance
- Dental insurance
3d
Fraud, Waste and Abuse Investigation, Senior Analyst
CVS Health —California
- $46,988 - $112,200 a year
- Full-time
- Remote
- Mid-level
- 3 years
- High school diploma or GED
- Health insurance
- Dental insurance
Senior Business Analyst, Regulatory Reporting Solutions (Remote)
CVS Health —California
- $46,988 - $122,400 a year
- Full-time
- Remote
- Mid-level
- 3 years
- Bachelor's degree
- Health insurance
- Dental insurance
11d
Mental Health Therapist
CVS Health —California
- $32.01 - $68.55 an hour
- Full-time
- Remote
- LMFT
- Licensed Clinical Social Worker
- Clinic experience
- Dental insurance
- Vision insurance
Senior Analyst, Financial Operations
CVS Health —California
- $46,988 - $112,200 a year
- Full-time
- Remote
- Research
- Mid-level
- Bachelor's degree
- Health insurance
- Dental insurance
Epic Principal Trainer
CVS Health —California
- $64,890 - $158,620 a year
- Full-time
- Remote
- Mid-level
- Bachelor's degree
- Organizational skills
- Health insurance
- Dental insurance
3d
Minute Clinic Accounts Receivable Associate, Senior Coordinator, Revenue Cycle
CVS Health —California
- $18.50 - $42.35 an hour
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Health insurance
- Dental insurance
12d
Business Support Senior Analyst, Revenue Cycle
CVS Health —California
- $46,988 - $122,400 a year
- Full-time
- Remote
- Microsoft Outlook
- SQL
- Bachelor's degree
- Health insurance
- Dental insurance
PAR Operations - Senior Analyst
CVS Health —California
- $64,890 - $173,040 a year
- Full-time
- Remote
- Mid-level
- Bachelor's degree
- Mentoring
- Health insurance
- Dental insurance
Senior Analyst, Corporate Controllers - Accounting
CVS Health —California
- $46,988 - $112,200 a year
- Full-time
- Remote
- Microsoft Access
- Mid-level
- Office
- Health insurance
- Dental insurance
10d
Project Coordinator, Customer Strategy & Enablement
CVS Health —California
- $43,888 - $102,081 a year
- Full-time
- Remote
- Mid-level
- High school diploma or GED
- Bachelor's degree
- Health insurance
- Dental insurance
Software Development Engineer
CVS Health —California
- $64,890 - $173,040 a year
- Full-time
- Remote
- Azure
- Software troubleshooting
- 5 years
- Health insurance
- Dental insurance
Staff Engineer - Regulatory Technology
CVS Health —California
- $106,605 - $284,280 a year
- Full-time
- Remote
- Computer science
- Azure
- Computer Science
- Health insurance
- Dental insurance

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Senior Claim Benefit Specialist - Remote

CVS Health -
California

Apply Now

Job Details

Full-time
$18.50 - $42.35 an hour

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance

Qualifications

High school diploma or GED
Health insurance knowledge

Full Job Description

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
Reviews and adjudicates complex, sensitive, and specialized medical claims in accordance with established plan processing guidelines. Functions as a subject matter expert by providing coaching, and offering guidance on escalated or technically challenging issues. Supports customer service operations by addressing inquiries and resolving issues to ensure a positive member experience.

Additional Responsibilities

Reviews pre‑specified claims and those that exceed specialist adjudication authority or processing expertise.
Applies medical necessity guidelines, determines coverage, verifies eligibility, identifies discrepancies, and implements cost‑containment measures to support accurate claim adjudication.
Ensures compliance with all regulatory requirements and confirms that payments align with company policies and procedures.
Identifies and reports potential overpayments, underpayments, and other claim irregularities.
Performs claim rework calculations as needed.
Trains and mentors as needed to enhance team performance and technical proficiency.
Conducts outbound calls to obtain required information for claims or reconsideration requests.

Required Qualifications

Minimum of 18 months of medical claim processing experience with a health insurance payor or third‑party administrator.
Proven success working in a high‑volume, production‑driven environment.
Demonstrated ability to manage multiple assignments with accuracy, efficiency, and attention to detail.

Preferred Qualifications

Self-Funding experience
DG system knowledge

Education

High School Diploma required
Preferred Associates degree or equivalent work experience.

Anticipated Weekly Hours

Time Type

Full time

Pay Range

The typical pay range for this role is:

$18.50 - $42.35

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 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.

This job does not have an application deadline, as CVS Health accepts applications on an ongoing basis.

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

Apply Now

Refine Your Search

cvs work at home jobs in california

Senior Claim Benefit Specialist - Remote

Customer Service Representative, Behavioral Health (Shift: Mon-Fri 11:45AM-8:15PM EST)

UMNC

Administrative Assistant

Business Analyst, Regulatory Reporting Solutions (Remote)

Senior Investigator, Special Investigations Unit (Aetna SIU)

Inside Sales Rep-Hourly + Commission-Can live anywhere in U.S.

Database Automation Engineer

Fraud, Waste and Abuse Investigation, Senior Analyst

Senior Business Analyst, Regulatory Reporting Solutions (Remote)

Mental Health Therapist

Senior Analyst, Financial Operations

Epic Principal Trainer

Minute Clinic Accounts Receivable Associate, Senior Coordinator, Revenue Cycle

Business Support Senior Analyst, Revenue Cycle

PAR Operations - Senior Analyst

Senior Analyst, Corporate Controllers - Accounting

Project Coordinator, Customer Strategy & Enablement

Software Development Engineer

Staff Engineer - Regulatory Technology

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