Client Operations - Analyst

CVS Health • Work At Home-Texas, TX

1d • $43,888 - $85,068

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 Clinical Client Operations - Analyst will be responsible for analyzing Client's specialty benefit requests and inputting data into RxClaim to maintain specialty benefits (pricing, co-pays, grace fills, etc.) and building of new Specialty benefits for clients. The Analyst's duties will emphasize data analysis and review of client documentation to determine client intent for their specialty benefit. Analysis will be completed using RxClaim and analytical tools (i.e. MS Excel and MS Access) in support of specialty builds and maintenance. Other duties will include RxClaim query, data analysis, manual updates to RxClaim, testing changes using EZ- Test and macros and reviewing test claims for accuracy. The Analyst will also use SalesForce to track work and monitor TAT. The Analyst will confirm client intent when necessary and ensure complete client documentation is included with all request.

Requirements

• 1 year prior work experience in Microsoft applications
• High School Diploma or GED required

Nice To Haves

• 1 year prior work experience in RxClaim Coding, RxClaim Query/EZ Query
• Bachelor Degree preferred

Responsibilities

• Analyzing Client's specialty benefit requests and inputting data into RxClaim to maintain specialty benefits (pricing, co-pays, grace fills, etc.)
• Building of new Specialty benefits for clients
• Emphasizing data analysis and review of client documentation to determine client intent for their specialty benefit
• Completing analysis using RxClaim and analytical tools (i.e. MS Excel and MS Access) in support of specialty builds and maintenance
• Performing RxClaim query, data analysis, manual updates to RxClaim
• Testing changes using EZ- Test and macros
• Reviewing test claims for accuracy
• Using SalesForce to track work and monitor TAT
• Confirming client intent when necessary
• Ensuring complete client documentation is included with all request

Benefits

• medical
• dental
• vision coverage
• paid time off
• retirement savings options
• wellness programs

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED