CVS Health

Receive alerts when this company posts new jobs.

Similar Jobs

Job Details

Sr Consultant Eligibility

at CVS Health

Posted: 5/5/2019
Job Reference #: 993498BR

Job Description

Job Title :
Sr Consultant Eligibility
Job ID :
Location :
Category :
Project Management|Account Management|Analytics|Business Analyst
Description :
Job Description
As a Healthcare Data Analyst for a Fortune 10 organization, you will impact and support customers in all areas including Commercial, Medicare, Healthcare Plans & Group Waiver Plans (EGWP). You will be responsible for leading multiple concurrent projects and overseeing the successful collection, definition and documentation of all project requirements. You will bring your demonstrable experience working independently and autonomously to plan and execute your work to meet your goals. Your ability to collaborate with key program partners will be key to develop a business case, benefits realization plan, and operational transition plans to ensure business goals are obtained. Some of your additional responsibilities will include:

- Conducting project kick-off meetings

- Recording, tracking and communicating issues, risks, and changes

- Driving all project and program tasks to completion with quality

- Developing and maintaining a productive working relationship with project partners and clients

- Providing creative and innovative ways to meet project objectives

- Crafting and maintaining operating procedure documents for the team

-Mentoring current/future team members

Your success will be driven by resolving critical issues with minimal guidance along with prioritizing competing client requests to ensure focus on the highest impact activities. Your technical skills and attention to detail will be tested daily. In this role, you will help to ensure that CVS Health maintains its position as leader in the PBM Marketplace.

Required Qualifications
* At least 5 years of experience in healthcare data eligibility, insurance, IT, benefits or data analytics environment with a demonstrable ability to work independently, problem solve, and analyze data in a confidential healthcare environment

Preferred Qualifications
* Experience in eligibility or other relevant background

* Experience with customer service or client-facing experience in a dynamic environment

* Experience in EDI (Electronic Data Interchange)

* Understanding of the PBM industry

* Knowledge of ANSI X12 834 Data Documents

* Familiarity with Rx Claim and/or AS400

* Flexibility and willingness to travel, which will be minimal

* Bachelor's Degree required; equivalent work experience may substitute.

Business Overview
It’s a new day in health care.

Combining CVS Health and Aetna was a transformative moment for our company and our industry, establishing CVS Health as the nation’s premier health innovation company. Through our health services, insurance plans and community pharmacists, we’re pioneering a bold new approach to total health. As a CVS Health colleague, you’ll be at the center of it all.

We offer a diverse work experience that empowers colleagues for career success. In addition to skill and experience, we also seek to attract and retain colleagues whose beliefs and behaviors are in alignment with our core values of collaboration, innovation, caring, integrity and accountability.

CVS Health is an equal opportunity/affirmative action employer. Gender/Ethnicity/Disability/Protected Veteran - we highly value and are committed to all forms of diversity in the workplace. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities. We comply with the laws and regulations set forth in the following EEO is the Law Poster: EEO IS THE LAW and EEO IS THE LAW SUPPLEMENT. We provide reasonable accommodations to qualified individuals with disabilities. If you require assistance to apply for this job, please contact our Advice and Counsel Reasonable Accommodations team. Please note that we only accept applications for employment via this site.

If technical issues are preventing you from applying to a position, contact Kenexa Helpdesk at 1-855-338-5609 or For technical issues with the Virtual Job Tryout assessment, contact the Shaker Help Desk at 1-877-987-5352.

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!