
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.
🔥 15 hours ago
🏈 Alabama, Arizona, +42 more states – Remote
💵 $21 - $49 / hour
⏰ Full Time
🟢 Junior
🟡 Mid-level
🧐 Business Analyst
👻 Ghost score 0%
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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.
• 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
• 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
• 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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