Clinical Support Analyst
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. The Clinical Analyst role on the CVS Aetna IBU team is a great opportunity for an individual with analytical interest and skills. The individual will work with clinical data and tools to help the Clinical Advisors provide strategic consultation and deliverables.
Requirements
- 2 plus years of work experience working with healthcare data, preferred pharmacy data
- 3 plus years of experience in Microsoft Office suite including proficient skills utilizing Outlook, Access, Word, Excel and PowerPoint.
Nice To Haves
- Pharmacy experience
- Medicare Experience
- Pharmacy Technician certification
- Strong Communication skills
- Ability to work at a fast pace
- Critical thinking skills
- Strategic thinking skills
- Ability to work in a team setting
- Ability to demonstrate strong problem-solving skills
- Ability to work independently and effectively manage workload
- Client Facing/consultation experience
- Process flow improvement experience with Visio
- Ability to create macro-enabled Access/Excel tools
Responsibilities
- Supports clinical advisors to meet client reporting requirements and deliverable, both scheduled and adhoc
- Support clinical advisors on data needed to support PA Criteria submission to configure internal utilization platforms (CAS and MedHOK)
- Supports clinical advisors to help communicate client formulary changes to internal partners
- Support clinical advisor with Prior Authorization monthly updates, extensions and migrations, working with IBU data analysis team, Account Management, and PBM Clinical PA team
- Clarifies needs and suggests innovative ideas to meet client/clinical advisor requests
- Provides consultative analysis of results and suggests additional analysis, if appropriate
- Consistently performs quality checks on reports/deliverables and ensures data is accurate before sharing with clinical advisor
- Proactively suggests solutions and integrates best practices across accounts
- Request, interpret and analyze claims data for impact and remediation
- Suggests and creates innovative solutions for improving existing process flows
- Special projects and workgroups as needed to improve efficiency and client satisfaction
Benefits
- medical
- dental
- vision coverage
- paid time off
- retirement savings options
- wellness programs
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
