CVS Health
Pharmacy Benefit Manager Data Analyst (Meritain Health)
This job is now closed
Job Description
- Req#: R0550309
Employer Industry: Healthcare Solutions
Why consider this job opportunity:
- Salary up to $42.35 per hour
- Eligible for bonuses, commissions, or short-term incentive programs in addition to base pay
- Comprehensive benefits including affordable medical plans, a 401(k) plan with matching contributions, and an employee stock purchase plan
- Flexible work schedules and paid time off to support work-life balance
- Opportunities for professional development and growth within the organization
- Supportive workplace environment that values diversity and inclusion
What to Expect (Job Responsibilities):
- Perform prescription claim and accumulator audits, verifying policy coverage and assessing claim validity
- Initiate investigations of plan set-up and overapplied accumulators by running reports and conducting audits
- Communicate with internal partners and PBM vendors, addressing inquiries and resolving issues regarding prescription claims data
- Maintain electronic records and ensure compliance with relevant policies and regulations
- Assist in implementing process improvements to enhance efficiency and effectiveness
What is Required (Qualifications):
- 2-4 years of experience with data analysis and/or auditing
- 2-4 years of experience in the healthcare industry
- High school diploma or GED
- Strong attention to detail and ability to independently manage multiple assignments accurately and efficiently
How to Stand Out (Preferred Qualifications):
- 1-2 years of PBM experience
- 5+ years of experience with data analysis and/or auditing
- Demonstrated proficiency in Microsoft Excel
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We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.About the company
At CVS Health, we share a clear purpose: helping people on their path to better health. Through our health services, plans and community pharmacists, we’re pioneering a bold new approach to total health. Making quality care more affordable, accessible, simple and seamless, to not only help people get well, but help them stay well in body, mind and spirit.
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