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Position Summary

The Clinical Analyst role on the CVS Clinical Account Services team is a great opportunity for an individual with research and analytical interest to use their skills in a managed care pharmacy environment. The individual will collect, analyze, and present clinical data. The individual will perform research and evaluate healthcare information from different sources to identify trends and business insights. The individual will utilize data tools to help the Clinical Advisors (Pharmacists) respond to data requests and support strategic clinical consultation to our client(s). The Clinical Analyst will work with Clinical Advisors on data requests primarily to support our Coalition Business Unit. This will include analyzing client data requests, regulatory requests, benefit documents, utilization management edits (prior authorization, quantity limits, step therapy, etc.), operational data, and other clinical programs. The Clinical Analyst will conduct research and translate this information into the appropriate data request format, consult with account teams and client contacts to fully understand client request, and work with internal partners to ensure the pharmacy benefit data is accurately represented per the request specifications.

Responsibilities:

• Supports clinical advisors to help meet client reporting requirements

• Support clinical advisors on data needed to support regulatory requests

• Supports clinical advisors to help communicate client formulary changes to internal partners

• Clarifies needs and suggests innovative ideas to meet client/clinical advisor requests

• Provides consultative analysis of results and suggests additional analysis, if appropriate

• Consistently performs quality checks on reports and ensures data is accurate before sharing with clinical advisor or client

• Supports special projects and work groups as needed to improve efficiencies and client satisfaction

• Proactively suggest solutions and integrates best practices across accounts

• Suggests and creates innovative solutions for improving existing process flows

• Assists with reporting and analysis to identify utilization and support clinical mailings

• Leverages pre-built and self-built tools to support Clinical Advisor data manipulation and interpretation needs

• Special projects and work groups as needed to improve efficiencies and client satisfaction

• Design and develop customized qualitative and quantitative solutions to meet client needs

• Develop and implement mechanisms to automate tasks

• Work collaboratively with CVS Health clients during onsite or virtual meetings using a client-centered approach

• Provide guidance on spreadsheets, provide drug targeting associated with member mailings

• Utilize proprietary systems, reporting tools and software (RxNavigator, RxArchitect, iTools, Tableau, RxClaim, Salesforce etc.) to generate necessary client reporting and conduct research

Required Qualifications

• 2 years of work experience in a health plan, PBM,

Pharmacy, benefits, or insurance background

• 3 years of experience in Microsoft Office suite including

proficient skills utilizing Outlook, Access, Word, Excel, and

PowerPoint

Preferred Qualifications

• Not a licensed pharmacist position

• Pharmacy experience strongly preferred

• Pharmacy Technician certification

• Project Management Experience

• Ability to create macro enabled Access/Excel tools

• 3+ years of experience in client/customer service-based

environment

• Excellent organization, time management and multitasking skills (able to track and handle issues, ensure the right teams are engaged, facilitate comprehensive and timely issue resolution, etc.)

• Ability to work independently and effectively manage

workload

• Ability to pay attention to detail

• Ability to work in a fast-paced environment

• Strong analytical, and presentation skills

• Strong verbal and written communication skills

• Excellent knowledge of Prescription Benefit Management

(PBM) industry preferred

Education

High School Diploma or GED required; Bachelor's degree

preferred

Pay Range

The typical pay range for this role is:

$43,888.00 - $85,068.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.

For more detailed information on available benefits, please visit Benefits | CVS Health (https://jobs.cvshealth.com/us/en/benefits)

We anticipate the application window for this opening will close on: 11/30/2024

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.