This is a Consultant position within the Essential Testing department. This individual will support Client benefit testing and query testing and work with our internal customers along with other job duties as required. This Consultant will need to identify the best approaches and strategies for ensuring the accuracy of benefit testing and query testing and could be requested to discuss test results with senior leadership across multiple lines of business.
In order to be successful in this role you will serve as a subject matter expert (SME) for benefit testing and query testing issues as well as identify areas of improvement and will need to successfully engage internal business partners and leaders as needed.
The Consultant will participate in process improvements across multiple business units as required by Client Services leaders. This individual will work with Client Benefits, Membership Operations, Account Management and Implementation management along with senior leadership to improve the overall Quality of the Client Implementation experience.
- 3 - 5 years of experience in Healthcare or Pharmacy Benefit Management or Claim environment.
- 3-5 years of benefits testing experience
- Experience with RxClaim (AS400), EZQuery and PAR Test tools
- Experience with analyzing the data spreadsheets
Bachelor's degree required; equivalent related work experience may substitute.
At CVS Health, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.
We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, sex/gender, sexual orientation, gender identity or expression, age, disability or protected veteran status or on any other basis or characteristic prohibited by applicable federal, state, or local law. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.
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