CVS Health

Financial Operations Analyst

CVS Health

full-time

Posted on:

Location Type: Hybrid

Location: Northbrook • Arizona • Connecticut • United States

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Salary

💰 $43,888 - $93,574 per year

Job Level

Junior

About the role

  • Perform claims diagnosis to identify claims impacted by plan benefit changes
  • Review the parameters of an issue and run AS400 queries to identify impacted claims
  • Pull impacted claims for conversion/submission for R&R
  • Complete a subsequent manual analysis in Excel of impacted claims
  • Identify financial impacts to clients, members, and pharmacies due to benefit coding errors, eligibility changes, program features, and client requests
  • Manage an individual queue of multiple projects in a fast-paced, process-driven environment
  • Work closely with Sales, Account Management, Client Audit, Benefits, Clinical, Rebates, and other teams to manage and coordinate work

Requirements

  • 1+ years of healthcare experience
  • 1+ years of Excel experience
  • Understanding of data sets, tables/files, queries, joins, and other database concepts
  • Strong customer service focus that includes both internal and external customers
  • Excellent verbal and written communication skills
  • PBM Industry and plan design experience
  • RxClaim adjudication or benefits experience strongly preferred
  • Candidates with CVS Caremark PBM adjudication/systems, LINKS/Mail order, AS400/mainframe, or other relevant experience are highly desired
  • Preferred experience includes business operational experience including high volume transactional experience
  • Highly desired Excel skills such as ability to manage and present large volumes of data, creating/using complex formulas, report formatting, pivot tables, data manipulation, and other advanced functions
Benefits
  • Affordable medical plan options
  • 401(k) plan (including matching company contributions)
  • Employee stock purchase plan
  • No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs
  • Confidential counseling and financial coaching
  • Paid time off
  • Flexible work schedules
  • Family leave
  • Dependent care resources
  • Colleague assistance programs
  • Tuition assistance
  • Retiree medical access
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
ExcelAS400RxClaimdata analysisdatabase conceptsqueriesjoinspivot tablesdata manipulationreport formatting
Soft Skills
customer serviceverbal communicationwritten communicationproject managementorganizational skillscollaborationattention to detailproblem-solvingtime managementadaptability