Analyst - Network Management

at  CVS Health

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.
Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.

POSITION SUMMARY

The Analyst - Pharmacy Non-Compliance positions requires a motivated and eager individual who is detailed oriented and can multi-task. This role will be responsible for addressing pharmacy contract non-compliance allegations that are sensitive and complex.
The Analyst will review non-compliance allegations and make outreach to pharmacies to discuss the allegations.
The Analyst must be capable of providing detailed written responses as they work and interact with various internal partners. These written responses will summarize the allegation and provide responses to plan sponsor/participant concerns with the contracted pharmacies.

REQUIRED QUALIFICATIONS

This position requires 3+ years of work experience with a Pharmacy Benefit Manager (PBM) or with a Retail Pharmacy environment
1+ years of conflict resolution
2+ years of MS Office Applications

PREFERRED QUALIFICATIONS

Excellent oral and written communication skills, knowledge of pharmacy operating system and claims adjudication software
Strong organization and time management skills.
Assertive, self starter who is able to make decisions independently
Certified Pharmacy Technician

EDUCATION

Bachelors degree or equivalent work experience

Please refer the Job description for details