Jobs at Cvs Pharmacy in Scottsdale, Arizona

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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The role of the Rep I in the Pharmacy Advisor team, a leading-edge, start-up program for CVS Caremark is to provide support to members and/or prescribers, and Pharmacists assisting members and/or prescribers, regarding the disease state(s) supported by the program. Through the use of sophisticated modeling and systems, we are able to identify members who meet the desired counseling opportunity cri...
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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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- Responsible for conducting market research projects in support of corporate goals - Propose appropriate research design based on identified business objectives - Design, screeners, discussion guides and questionnaires - Manage data collection, perform analyses, prepare summaries and present research findings with minimal supervision - Develop actionable recommendations for internal clients - Man...
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This candidate is responsible for the review of pharmacy claims submitted through the CVS Caremark claims processing systems. Purpose of the review is to identify and rectify claim inaccuracies that would result in client overpayment. Position is an integral part of the pharmacy claims audit process and requires a detail-oriented candidate. Candidate is responsible for contacting the pharmacy for ...
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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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UNIX Systems Administrator (Linux) to share hardware and software technical support for more than 50 production and test servers. Resource will perform and provide system installation, performance monitoring, refresh/capacity planning, configuration, data, fault and print management, and provisioning for SAN Storage. Will be supporting a 24 x 7 production environment - on-call, nights and weekend ...
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The Sr. Credentialing Data Analyst position is responsible for the oversight and administration of the pharmacy survey and re-credentialing process. This position will assist management in the overall assessment and assurance that the re-credentialing of pharmacy network providers is compliant with business requirements. This position will perform the following functions: Pharmacy Survey and Re-Cr...
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End-to-end management of the Incident and Problem Management functions. Responsible for leading support teams to restore services as quickly as possible for application and business service outages and then working to identify the root-cause as quickly as possible. This role requires leading and managing decentralized resources often across the country and steering them to quickly resolve business...
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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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Consultant .Net App Dev - Medicare D Web Applications works on web applications critical to the marketing and enrollment operations of the Medicare Part D program. * Responsible for developing and implementing technical web solutions as assigned, ensuring and adhering to all established methodologies, standards and guidelines, including but not limited to: analysis & design documents, program spec...
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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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Ensure on time and on budget delivery of IT projects into production. Oversee the planning, requirements, design, construction, testing, and implementation of assigned large, complex IT projects. Confirm scope, develop and oversee project plans and implement scope change control procedures. Monitor progress, manage issues, mitigate risks. As projects go live, ensure effective handoff to operations...
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This position based in Scottsdale Arizona is for CVS Caremark’s Pharmacy Benefits Management (PBM) line of business. In this role you will participate in compliance and operational audits, as well as, special projects as assigned. Specifically: Perform reviews for a program of audit coverage for assigned areas, including operational and compliance audits, in accordance with generally accepted audi...
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Job Description This individual will have the overall responsibility for the Medicare Part D benefits team within the Employer Client Services Team. Will oversee a team of EGWP Account Managers, Coders, Quality Assurance Staff, the Benefits Consultation Center and the Benefit Relationship Managers. The Director will focus on driving key Medicare Part D Benefits related projects that will improve o...
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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 successful candidate will be responsible for the creation of department metrics. These metrics will be used to track operational performance as well as creating reports for Sr Management such as our Key Performance Indicators. Bachelors degree in Finance ar Business Management required. Expert level Access, Excel, and Power Point skills. 6+ years experience in the ability to pull in data from ...
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The Prospective and Pilot Analytics function within CVS Caremark Enterprise Analytics is responsible for contributing comprehensive analytic support to identification, development, and evaluation of emerging CVS Caremark products and services. The Senior Analyst provides data-driven insight on opportunities for new program development and optimization of the existing approaches, supports intervent...
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CVS Caremark's MBA Career Development program, known as Enterprise Career Maps (ECM), is a premier development program focused on building leadership capabilities, business skills and operational experiences to help colleagues achieve career aspirations and prepare for senior leadership roles. An ECM participant completes various role assignments within a specific business unit to plan, coordinate...
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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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This position is responsible for providing technical and analytical support for Medicare Part D claims monitoring quality initiatives. This position will take a lead role in 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 extract...
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The Contract Analyst (CA) is responsible for end-to-end administration of drug manufacturer brand discount and pricing contracts. This is a complex process which includes contract interpretation and setup within an internal custom invoicing system, maintenance of aforementioned contracts (includes claims, client, drug, formulary, and plan design assessment), claims submissions, reporting, invoicin...
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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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Direct team in support of high level projects and strategic situations that adversely impact the pharmacy audience (MAC decreases, implementation of new reimbursement formulas, such as WAC or AMP, unusual client-specific contracting initiatives and the addition of multiple pharmacy systems (RxAmerica, Aetna). Provide an escalation path for team and work cross functionally with account teams, IT, F...
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