CVS Health Job - 39936249 | CareerArc
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Company: CVS Health
Location: Northbrook, IL
Career Level: Associate
Industries: Retail, Wholesale, Apparel


Job Description
‐ Consultant/Analysts, once trained on MDT processes, will be immediately client-facing
‐ Consultants/Analysts are expected to conduct themselves professionally in all interactions with clients, internal partners outside PBMs and third parties.
‐ Ability to track multiple, moderate to complex transitions to execute on time
‐ Manages relationships with incumbent PBMs to schedule delivery and receipt of data in agreed upon format and on time to review, process and load data into our systems
‐ Lead calls when necessary, with other PBMs or internal partners to ensure that our team is collecting all relevant data to meet the client's expectation
‐ Track the progress of the transition utilizing a salesforce case or an eProject Plan and be prepared to report progress or risks to the Implementation Team and MDT Leadership
‐ Manage member files including: Claims History Files, Prior Authorizations, Rx Only Accumulations, Open Refill files and Specialty Open Refill files
‐ Works to display competency with the formatting, manipulation, and analysis very large data sets, all the while maintaining the highest levels of data accuracy
‐ Willingness to partner with senior team members to learn best practices and incorporate that knowledge into daily practice
‐ Collaborate with internal partners, when needed, to solution for custom client needs
‐ Works to become proficient working with all Lines of Business including Medicare, Medicaid, Specialty Stand Alone and EGWP clients
‐ Excellent written and verbal communication
‐ Consistently demonstrate the CVS/Caremark Core Values (How We Work) of Accountability, Respect, Integrity, Openness and Teamwork
‐ Work independently in a remote team environment
‐ Responsible for working with incumbent vendors, consultants or Third-Party Administrators when required and document and communicate key changes that might have client impact
‐ Identify process improvement opportunities providing proactive, strategic solutions
‐ Possessing PBM organizational knowledge is a plus
‐ Experience with Mainframe highly desirable
‐ Must have proficiency in Excel and Access
‐ Validate one's work is complete and accurate within agreed upon timeframes
‐ Ability to quickly learn new processes and technology

Required Qualifications
‐ Client interfacing experience
‐ Proven ability to successfully transfer and load electric data files in a high-volume environment
‐ Hands-on ability to format, manipulate, and analyze very large data sets, all while maintaining the highest levels of data accuracy
‐ (or similar tool)
‐ eProject Plan (or similar project management tool)
‐ RxClaim (preferred)
‐ QL (preferred)
‐ SharePoint
‐ PeopleSafe
‐ WebEx
‐ Excel
‐ Access

Preferred Qualifications
‐ Engaging, outgoing and approachable
‐ Desire to learn new skills
‐ Communication/ Relationship Building
‐ Communication Skills (ability to flex communication style and descriptions to match the audience; ability to explain complex topics in an easy to understand way; avoids jargon)
‐ Produces quality work and follows process
‐ Flexibility, adaptable and resilience
‐ Decisiveness
‐ Attention to detail
‐ Time management
‐ Customer Service Mentality
‐ Self-driven and proactive
‐ Email etiquette / writing skills
‐ Ability to handle fast paced, high stress work environment

High School Diploma Required
College/Technical Certification Preferred

Business Overview
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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