Manager, Client Audit

CVS Health • Scottsdale, AZ

13d • Remote

About The Position

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. While this role is classified as remote, travel to Arizona will be required most likely two times per year for meetings Position Summary As a Manager, Client Audit, you will be in a client facing project management position responsible for coordinating, managing and assisting with client audits, as assigned. This position will be focused on audits for Molina and their downstream clients. In this position, you will work closely with various 3rd party auditors and consultants, client account teams, legal and trade areas to ensure the completion of client requested audits with consistency and minimal disruption to the business. This position needs to be able to manage many audits at the same time with short turnaround times. You will be responsible for the timely and satisfactory resolution of exceptions identified during the audit process. This includes having working knowledge of pharmacy rebates, in order to review and respond to all the auditor’s questions in a short window of time. Skills must include abilities to analytically identify, track and encourage business owners in process enhancement opportunities to reduce risks, as well as researching claim specific questions.

Requirements

• Five (5) years of overall work experience
• Three (3) or more years in project management, pharmacy benefit management (PBM), pharmacy and/or audit
• A working knowledge/understanding of pharmacy rebates
• Ability to actively seek new ways to grow and be challenged
• Critical thinking which translates into strategic actions
• Easily adapting to change
• Excellent verbal and written communications skills
• Strong Project Management skills that include the ability to adapt and deal effectively in dynamic, possibly unpredictable, environments while efficiently managing multiple projects from initiation through to completion. A working contributor responsible for each project’s success.
• Ability to interact effectively with third-party auditors and clients while under pressure during an audit is a must.
• Strong tolerance for ambiguity and stress
• Strong ability to maintain attention to detail and organizational skills.
• Bachelors degree OR equivalent work experience required

Nice To Haves

• Experience with RxClaim
• Demonstrated ability with basic Excel & Word functions
• Excellent verbal and written communication skills with ability to communicate technical ideas and results to non-technical clients in written and verbal form
• Demonstrated ability to work independently while effectively prioritizing multiple projects concurrently
• Strong problem-solving, analytical, and critical thinking skills
• Someone who is an initiative-taker and comfortable in a fast-paced and ever-evolving environment
• A process improvement mindset, always looking to improve processes
• A life learner who is constantly working to improve their professional knowledge

Responsibilities

• Work directly with the third-party auditors, the client and all the internal business areas involved in the audit
• Needs to be able to juggle all competing priorities
• Have a working knowledge base of client documentation and formulary setup (CRD, CPM, standard formulary options)
• Coordinate, manage, track the audits from start to closure
• Review and research all questions from the auditor and account teams
• Work through and resolve any alleged issues, working strategically and achieving results
• Respond back to the auditor
• Identify process enhancements, as well as any gaps in controls within the business areas being audited
• Raise the appropriate items to senior leaders and doing so timely
• Documenting correspondence with internal partners, clients, and auditors
• Tracking all audit progress to ensure that all deliverables are provided by due dates

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: Mid Level
• Number of Employees: 5,001-10,000 employees