CVS Health Senior Analyst - Medicare Part B Operations in Cumberland, Rhode Island
As a Medicare Part B Operations Senior Analyst, you will manage an extensive suite of operational reporting and metrics for the Medicare Part B Operations Team. The Sr. Analyst will be data oriented with a focus on building and maintaining actionable data dashboards, advanced front-end analytics, and identifying data efficiencies. The position will require the Sr. Analyst to collaborate with various internal and external business partners to track, report, and identify insights and opportunities that create simplicity and drive business initiatives while maintaining compliance with Medicare guidelines. In this role, you will also oversee content updates, monitor adherence levels, and facilitate the yearly roll out of the mandatory Medicare Part B Annual Retail Training Course. Additionally, the Medicare Part B Operations Senior Analyst will be responsible for the maintenance of documentation and resources for the team, as well as our pharmacy team members, including but not limited to, the internal team’s SharePoint site and the company’s RxNet intranet page. You will be responsible for the timely and accurate resolution of field support requests that are submitted to the Third Party Medicare Team through the ServiceNow help desk platform and the team’s shared email box. The resolution of ServiceNow and emailed inquires will require collaboration between field colleagues, corporate colleagues, and our Medicare Part B claims processing vendor. Compliant and concise resolutions must be provided while adhering to the established productivity standards (SLA). The Medicare Part B Operations Senior Analyst will also support, manage and lead various business initiatives as identified by Management. As you will work independently with minimal supervision, you must possess strong organizational skills, the ability to handle multiple priorities with individual deadlines, and the capability to provide meaningful feedback for QA and operational process improvements to management.
The typical pay range for this role is:
Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will take into account a wide range of factors, including location.
- 3+ years’ experience in retail pharmacy, PBM or health insurance claims processing- 3+ years’ analytical experience- Solid working knowledge of MS Word, Excel, Access, PowerPoint and Outlook- Ability to complete assigned work within productivity standards (SLA) with minimal supervision- Excellent critical thinking, organizational and time management skills- Strong attention to detail, accuracy and follow through- Ability to identify problems, evaluate alternatives and implement solutions- Excellent verbal and written communication skills- Ability to work in strict confidence; ensuring the confidentiality of patient, medical and financial records, in compliance with company and HIPAA Privacy guidelines
COVID-19 Vaccination Requirement
CVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated.
You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.
- Data mining experience (SQL, MicroStrategy)- Prior Pharmacy or Third Party Insurance experience- RxConnect experience
- Bachelor’s degree
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