Pharmacy Technician - Claims Analyst

CVS Health

5d

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. At CVS Health, we share a clear purpose: helping people on their path to better health. Through our health services, plans, and community pharmacists, we’re pioneering a bold new approach to total health. Making quality care more affordable, accessible, simply and seamless, to not only help people get well, but help them stay well in body, mind and spirit. The Claims Analyst is responsible for reviewing pharmacy claims submitted through the CVS Health claims processing systems. The Claims Analyst will identify and rectify claim inaccuracies that would result in client over-payment. In order to be successful in this role you will contact pharmacies for proper documentation to ensure a claim was submitted correctly as well as monitor assigned clients and report status on a regular basis. In the event of an inaccurate claim submission, you will follow the appropriate policies. We offer a comprehensive benefits package which includes medical, dental, vision insurance as well as a wide-ranging list of supplemental benefits and discount programs. In addition to sixteen paid days off for employees, we also offer ten paid holidays.

Requirements

• Retail pharmacy experience preferred (Valid Pharmacy Technician License or PTCB License)
• Reside within the Phoenix Metro area

Nice To Haves

• Ability to multitask and work independently
• Effective communication skills
• Bachelor's Degree

Responsibilities

• reviewing pharmacy claims submitted through the CVS Health claims processing systems
• identify and rectify claim inaccuracies that would result in client over-payment
• contact pharmacies for proper documentation to ensure a claim was submitted correctly
• monitor assigned clients and report status on a regular basis
• follow the appropriate policies in the event of an inaccurate claim submission

Benefits

• medical, dental, vision insurance
• wide-ranging list of supplemental benefits and discount programs
• sixteen paid days off
• ten paid holidays
• Affordable medical plan options
• a 401(k) plan (including matching company contributions)
• 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