Clinical Requirement Analyst

Job not on LinkedIn

🔥 0 minutes ago

🤠 Texas – Remote

🤠 Texas – Remote

💵 $60.3k - $132.6k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

🧐 Analyst

🚫👨‍🎓 No degree required

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CVS Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1963

⚕️ Healthcare Insurance

🛒 Retail

🧘 Wellness

Healthcare Insurance • Retail • Wellness

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

• Collaborate closely with multiple departments to ensure that client requests are executed accurately and efficiently • Address any potential client configuration concerns that may arise • Form relationships with key client partners through a consultative approach to fully understand clinical components of client benefit plan design • Translate client requirements into operational formats for CVS Health teams such as Clinical Configuration, Quality Analysis and Testing • Facilitate internal and external meetings and presentations to provide status updates and make decisions relative to client benefit setup

🎯 Requirements

• 2 or more years of experience in account management, benefit plan design, or related client-facing field • At least 2 years of experience in RxClaim/AS400 with a focus on formulary and utilization management preferred • 5 + years of relevant work experience • Experience working in Salesforce.com • PBM Med D Industry Experience • Clinical Understanding of Formulary and Utilization Management • Demonstrated proficiency with Microsoft Excel

🏖️ Benefits

• medical, dental, and vision coverage • paid time off • retirement savings options • wellness programs • other resources, based on eligibility