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Job Location: Arizona
Job Detail:
You will work with pharmacy and member specific claims data including, but not limited to, financial and operational information supporting state and federal compliance reporting. You will be responsible for standard and ad-hoc client and regulatory Prompt Pay and Pharmacy Payment Compliance reporting. You will continuously improve quality controls and accuracy of reported data, looking for ways to further automate reporting activities.
You will report to the Reporting Manager within the PBM Finance Data, Analytics, and Automation team. This is a fully remote role.
To be successful in this role, you need to have prior experience in refactoring an existing codebase to implement automation and further improve code efficiency, be comfortable with working in a fast-paced environment, be a team player with a strong drive for fostering collaboration, knowledge sharing, and continuous improvement.
Key Responsibilities
- Review MCO/Client Requests with internal and external partners to translate them into clear business requirements
- Build relationships with Account Teams, Legal, Compliance, Client Audit, Finance Operations, and others, by providing reporting leadership representation.
- Continuously evaluate/evolve processes, best practices, and tools around data, reporting, and automation.
- Ensure the accuracy and quality of the deliverables, applying high standards for quality control to all reporting and analytic work. Ensure consistent and clear documentation for production-ready reporting solutions.
- Handle, communicate, and escalate issues (as needed) in a timely manner so as not to impact delivery
- Lead by example to inspire a positive attitude, engagement, and professional growth.
- Proactively lead reporting & automation activities, tracking completion of action items, resolving issues, and mitigating risk
- Champion a culture of continuous improvement, curiosity, collaboration, and innovation.
Pay Range
The typical pay range for this role is:
Minimum: 43,700
Maximum: 100,000
Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will take into account a wide range of factors, including location.
Required Qualifications
- 2+ years of experience supporting reporting, analytics, or automation projects
- 1+ years of experience writing scripts in SQL and/or SAS
Preferred Qualifications
- Experience with any of these a plus: Python, R, Alteryx, Trifacta, Linux OS, GCP/ AWS/ Azure
- Experience working with medical and/or pharmacy claims data
- Experience in healthcare industry, including health insurance, PBM or pharmacy services
Education
Bachelor’s degree or equivalent work experience
Business Overview
Bring your heart to CVS Health Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected 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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