Analyst

• Researching, analyzing and correcting previously submitted, rejected Medicaid encounters.
• Work exclusively with Pharmacy generated Medicaid encounters in the State Medicaid Encounters department.
• Examine setups/configurations and compare text files to identify trends or issues with the integrity of the data within those files.
• Many innovative solutions are driven from this research and curiosity.
• You will also be responsible for serving a select group of clients. You will be responsible for maintaining, and in some cases developing, a relationship with key parties on the client side. Part of developing/maintaining a great working relationship with each client will include providing recurring metric reports to keep the client up to date. These metrics are produced from SAS and a proprietary version of AS400.
• Experience with either of these systems or prior exposure to the PBM or Medicaid industry would be advantageous.
• The ability to think critically and multitask is very valuable in this role.
• Additionally, you will be an integral part of recurring client meetings. You must be comfortable and adept with clearly communicating technical information (verbal and written) to non-technical people and leading conference calls, when needed.
• As part of our CVS Health team, you will be empowered to make decisions and think outside of the box, as we truly value innovation.
• Our team has expanded rapidly and will provide room for growth in the future.
• This is an excellent opportunity to be part of a multi-functional team which treats each other like family.

Healthcare Encounter Senior Analyst

Salary

Job Level

About the role

Requirements

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