Senior Network Pricing Management Analyst

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🔥 1 hour ago

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Logo of CVS Health

CVS Health

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

• Ensure quality assurance for all client pricing implementations by auditing outputs • Inspect the correct application of business rules, implementation processes, network structures, and pricing documents • Operational support for the QA/QC process by reviewing upstream work outputs • Support production tasks and jobs such as macros • Collaborate with teams across Employer, Health Plan, and Government segments

🎯 Requirements

• 3-5 years of operational experience within PBM or Health Care industry • Ability to meet strict deadlines in a volume heavy environment • Intermediate to advanced proficiency in MS Office Suite of tools; Advanced proficiency in Excel and Access desired • Quality assurance audit experience preferred • Knowledge of CVS Caremark network programs and procedures • Fundamental project management knowledge • Intermediate to advanced interpersonal skills • Strong time management skills • Effective communication skills • RxClaim system experience

🏖️ Benefits

• medical, dental, and vision coverage • paid time off • retirement savings options • wellness programs • comprehensive benefits package

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