Senior Analyst, Financial Operations – PDE Reporting

Job not on LinkedIn

🔥 39 minutes ago

🌵 Arizona – Remote

🌵 Arizona – Remote

💵 $47k - $112.2k / year

⏰ Full Time

🟠 Senior

💸 Financial Planning and Analysis (FP&A)

👻 Ghost score 0%

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CVS Health Careers

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

🛒 Retail

📦 Logistics

Healthcare • Retail • Logistics

CVS Health Careers is the recruitment and employer branding arm of CVS Health, showcasing job opportunities across the company's broad operations—pharmacy retail stores, pharmacy services, health care clinics, distribution warehouses, corporate functions and transportation. The careers site emphasizes purpose-driven work focused on improving access, affordability and quality of health care, and highlights a large workforce (300,000+ employees), inclusive culture, benefits, and hiring resources for applicants.

📋 Description

• Review claims and PDE (Prescription Drug Event) errors • Analyze and distribute PDE Rejections reports and analysis to internal and external clients • Serve as liaison between the PDE Reporting Team, PDE Eligibility/Reconciliation, and entities involved with PDE • Ensure timely and accurate resolution of PDE Rejections • Download and review Acumen Outliers • Coordinate research with various departments • Submit responses to external clients or Acumen according to CMS deadlines • Assist with weekly PDE meetings • Drive continuous improvement of Medicare claims data through root cause and impact analysis of errors • Recommend systems and procedure enhancements • Review guidance and ensure compliance with CMS

🎯 Requirements

• 3 years minimum experience with government-regulated health programs within financial operations and/or related experience (Medicaid, Medicare, and/or Exchanges) • Excellent written and verbal communication skills for interaction with clients, internal partners, and government agencies • Strong organizational skills and ability to manage multiple projects simultaneously • Excellent time management skills for time-sensitive requests • Proficiency with Microsoft Word and Excel • Proficiency with SQL and/or Python • Working knowledge of Part D plans • Ability to study and correctly interpret CMS Guidance • Compliance with CMS guidance • Bachelor's degree preferred or equivalent work experience required

🏖️ Benefits

• Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being • CVS Health bonus, commission or short-term incentive program eligibility

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