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 Responsible for conducting global book of business and Maximum Allowable Cost (MAC) client-specific analyses with the objective of monitoring and reporting MAC prices and products, understanding trends and impacts, running various QCs to ensure MAC list price updates occur as needed within required timeframes. He/she will have extensive analytical, programming, and adjudication system experience, be able to manage both long- and short- term projects and assignments effectively, peer-review coding, facilitate department database management, and work collaboratively in inter-departmental settings to accomplish tasks and goals. Decision-making is centered around offering suggestions about trouble-shooting and “what-if” criteria into logical and effective programming statements, and developing and determining most effective processes both within and across departments. Key interactions are with Underwriting, Sales / Account Management, Network Pricing, and Retail Network departments as well as outside clients and consultants.
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Job Type
Full-time
Career Level
Mid Level