Clinical Operations Coordinator

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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

• Provide management support for assigning clinical offering requests for Clinical Non-Adjudication offerings submitted through eProject and Salesforce • Assist in designing and implementing clinical data collection processes, including forms, case report details, and electronic data capture systems • Perform accurate and consistent clinical data entry • Validate and verify entered data for completeness and correctness • Conduct quality checks and audits to identify and resolve clinical data discrepancies or errors • Maintain clinical databases, including secure data storage, organization, and retrieval • Prepare clinical data analyses, reports, summaries, and statistical analyses • Organize, file, and maintain physical files and supporting documentation • Respond to clinical administrative queries and escalate complex issues to management • Document solutions and create reports identifying common issues, trends, and improvement opportunities • Exercise established clinical protocols when directed and provide ongoing support to enhance user experience

🎯 Requirements

• 1+ years' experience in customer service or call center environment • Data analyst skills • Prior experience with Excel at an intermediate level • Detail-oriented with a focus on quality • Ability to work independently and collaboratively across departments • Ability to work a flexible schedule as needed • Regular and predictable attendance • High School Diploma or General Equivalent Development (GED) • Excellent communication skills • Previous experience working with Pharmacy Benefits Management (PBM) preferred

🏖️ Benefits

• CVS Health bonus, commission or short-term incentive program in addition to base pay • Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting colleagues' physical, emotional, and financial well-being, based on eligibility

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