Analyst, Financial Operations

CVS Health • Hartford, CT

7d

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 The Analyst role performs claims diagnosis to identify claims impacted by plan benefit changes. This diagnosis is a vital step in the Service Warranty process which begins with reviewing the parameters of an issue and then running AS400 queries in order to identify the impacted claims. Depending on the type of case submitted, this position's daily tasks include pulling impacted claims to convert/submit for R&R and pulling impacted claims to complete a subsequent manual analysis in Excel. This work identifies and issues financial impacts to clients, members, and pharmacies due to benefit coding errors, eligibility changes, program features, and client requests. This role is required to manage an individual queue of multiple projects in a fast-paced, process-driven environment and excellent communication and time-management skills are essential. At times, the work completed will need to be presented and explained to other parties. You will work closely with Sales, Account Management, Client Audit, Benefits, Clinical, Rebates, and other teams to manage and coordinate the work.

Requirements

• 1+ years of healthcare experience
• 1+ years of Excel experience

Nice To Haves

• 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.
• RxClaim adjudication or benefits strongly preferred.
• Candidates that have CVS Caremark PBM adjudication/systems, LINKS/Mail order, AS400/mainframe, or other relevant experience are highly desired.
• Preferred experience includes business operational experience that includes high volume transactional experience.
• Highly desired Excel skills include 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, 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level