Analyst, Financial Operations

CVS HealthNorthbrook, IL
8d

About The Position

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary As a Rebate Claims Analyst, you will play a key role in the successful invoicing of drug manufacturer rebates. The Rebate Claims team manages and tracks the prescription claim volume that flows into the CVS Rebate system. You will work as a team member completing monthly claim validation procedures and analyses to prepare claims for rebate invoicing to drug manufacturers. You will also work closely with internal and external business partners to share information and data analyses that will ensure the timely validation and finalization of claims to be invoiced. This role may require working occasional evenings or weekends.

Requirements

  • Experience analyzing data with SQL in a professional or academic setting.
  • Experience with Microsoft Excel.

Nice To Haves

  • Knowledge of pharmaceutical products/pharmaceutical industry.
  • Strong written and oral communication skills.

Responsibilities

  • Creating and running SQL queries to identify claim anomalies and perform ad hoc analysis
  • Performing monthly claims validation procedures in preparation for rebate invoicing to drug manufacturers
  • Researching plan designs in the adjudication system
  • Verifying client plan design tiers, reviewing and analyzing formulary assignments
  • Working within the rebate claim system to update claim information
  • Working with implementation and account teams to on-board new Rebate Only clients in the rebate system

Benefits

  • Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
  • No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
  • Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
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