Pharmacy claims examiner lead jobs in the Other & Not Classified industry at Cvs Pharmacy in Arizona

The Analyst is responsible for providing technical and analytical support for Medicare Part D claims monitoring quality initiatives. The Analyst will be responsible for developing, documenting and executing a repeatable process to support claims reviews and prepare results summaries for Senior Management and client review. The process will involve defining detailed criteria for claims extracts bas...
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The Medicaid Analyst position will be responsible for researching, analyzing, summarizing and categorizing Medicaid Encounter rejects from the state. This opportunity is part of a new team within CVS Caremark fully dedicated to working with Medicaid Response Files. As we are building this new team, we need candidates who will enjoy working with large amounts of data, be able to find creative solut...
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The Client Rebate Operation is responsible for a full range of financial support including client rebate disbursements and client disbursement reporting, maintaining the related internal control environment, and all ad hoc analysis required to support the ongoing business requirements. The consultant position will be responsible for assisting in the disbursements of rebates to clients in accordanc...
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The selected Financial Consultant will manage the day to day operations of an assigned region. The region will consist of 400-600 active PBM clients. Duties will include commercial collections, customer service, special billing, dispute resolution, special projects, region reporting and various other tasks as needed. The selected candidate should be a self starter, goal oriented and innovative in ...
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The Senior Paralegal will support the legal needs of the Healthcare Services Legal Group by providing paralegal support for health plan contracting attorneys. The Senior Paralegal is responsible for the following: • Drafting client contracts as well as conducting initial review of legal issues arising from contracts based on set guidelines. • Participating in negotiations with clients on contracti...
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This position will support client data and information requirements for the enrollment, maintenance, and quality control of pharmacy networks. Daily focus is working with large datasets from multiple sources and platforms, data extraction, analysis, research, and ad hoc data development. The primary responsibilities include running of pharmacy and network directories, ad-hoc analysis and reporting...
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Assist in the development and maintenance of analytical tools and models using MS Excel,Visual Basic, SAS, SQL, Java, html. Responsibilities include data mining, summarizing, validation and problem solving. 3+ years relevant experience in Finance or Health Care Analytics. Proficiency in MS Excel and SQL. Ability to interpret, analyze and summarize large datasets. Have a basic understanding of stat...
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This position will support client data and information requirements for the enrollment, maintenance, and quality control of pharmacy networks. Daily focus is working with large datasets from multiple sources and platforms, data extraction, analysis, research, and ad hoc data development. The primary responsibilities include running of pharmacy and network directories, ad-hoc analysis and reporting...
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Assist in the development and maintenance of analytical tools and models using MS Excel,Visual Basic, SAS, SQL, Java, html. Responsibilities include data mining, summarizing, validation and problem solving. 3+ years relevant experience in Finance or Health Care Analytics. Proficiency in MS Excel and SQL. Ability to interpret, analyze and summarize large datasets. Have a basic understanding of stat...
full job description

This position will support client data and information requirements for the enrollment, maintenance, and quality control of pharmacy networks. Daily focus is working with large datasets from multiple sources and platforms, data extraction, analysis, research, and ad hoc data development. The primary responsibilities include running of pharmacy and network directories, ad-hoc analysis and reporting...
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This Financial Analyst will be a key contact for Medicaid Encounter and Response file processing. The successful candidate will assist on set up and delivery of Encounter Files and correction of claim records. The Financial Analyst will assist the SFA and Management in enhancing the current business processes. The successful candidate should have excellent Excel and Access skills with familiarity ...
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