Associate Business Analyst

Job not on LinkedIn

🔥 15 hours ago

🏈 Alabama, Arizona, +42 more states – Remote

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💵 $21 - $49 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🧐 Business Analyst

👻 Ghost score 0%

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Logo of CVS Health

CVS Health

10,000+ employees

Founded 1963

🏥 Healthcare

⚕️ Healthcare Insurance

🛒 Retail

Healthcare • Healthcare Insurance • Retail

CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.

📋 Description

• Create new MAC lists and manage existing MAC lists • Upload MAC prices to the adjudication platform • Perform MAC-related quality control processes • Collaborate with the Finance Guarantee team to help ensure client commitments are met • Make MAC adjustments as appropriate and as needed • Review and respond to pharmacy MAC appeals • Work with the Legal team to respond to MAC-related complaints from state agencies • Monitor pharmacy GER guarantees • Prepare MAC-related reporting, including client and pharmacy reports

🎯 Requirements

• 2–5 years of experience in pharmacy benefit management (PBM), pharmaceutical pricing or reimbursement, healthcare compliance or regulatory affairs, data analysis or financial modeling • Experience with RxClaim platform (AS 400) preferred • Associate Degree or equivalent work experience • Bachelor's Degree preferred

🏖️ 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

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