About The Position

The Business Configuration, Senior Coordinator is responsible for the operational development and performance of prior authorization criteria, including configuration data, clinical protocols, and medical notification documents within CVS Health’s Medical Claims and Prior Authorization platform (Novologix). This position works closely with other business teams to manage scheduled and ad hoc projects for new implementation and maintenance of existing clients. The role also includes cross-functional responsibilities to support other departments within CVS Health as required.

Requirements

  • 3+ years of MS Office experience
  • Strong verbal and written communication skills
  • 3+ years demonstrated ability to work independently and manage multiple projects and prioritize and delegate deliverables in a timely fashion
  • Change agile; willing and able to adjust individual and team direction based upon changing priorities and business need
  • Ability to think critically, problem solve and make decisions while anticipating the broad impact of decisions
  • BA/BS in Mathematics, Statistics, Health Care Management, Business, Economics, Finance or related field OR equivalent years of experience

Nice To Haves

  • 3+ years working within an IT or Healthcare environment
  • Familiar with state and federal pharmaceutical regulations

Responsibilities

  • Operational development and performance of prior authorization criteria to include configuration data, clinical protocols, and medical notification documents within CVS Health’s Medical Claims and Prior Authorization platform (Novologix)
  • Manage scheduled and ad hoc projects for new implementation and maintenance of existing clients
  • Support other departments within CVS Health as required

Benefits

  • Comprehensive and competitive mix of pay and benefits
  • Medical coverage
  • Dental coverage
  • Vision coverage
  • Paid time off
  • Retirement savings options
  • Wellness programs
  • CVS Health bonus, commission or short-term incentive program
  • Other resources, based on eligibility
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