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CVS Health Advisor, Med D Pharmacy Reimbursement in Scottsdale, Arizona

Job Description

In this role, you will be responsible for tracking, analyzing, and delivering pharmacy financial reporting for Medicare Part D. A key focus will be including both point of sale and DIR payments, and creating robust projection methodologies and management strategies to meet our contractual commitments while minimizing risk.These strategies will involve coordinating impact between overall pricing guarantees, drug pricing at an individual drug (MAC list) or aggregate level, contractual terms, and relevant regulations.Your experience will include translating business needs into analytic questions, and will ideally include experience in pharmacy benefits pricing, MAC list management, or related healthcare jobs. Using these skills, you will enable a data driven approach to improve our performance.Additional responsibilities of this role include:- Build customized reports concentrating on financial performance- Spearhead collaboration efforts with other team members and departments to develop analytic models, methodologies, and reports that support CVS Health agreements- Continual prioritization of competing needs to ensure focus on highest impact activities- Develop and assist with coding logic in SAS, SQL, Excel, MS Access

Required Qualifications

  • 3 years of experience in data manipulation and analysis

COVID Requirements

COVID-19 Vaccination Requirement

CVS Health requires its Colleagues in certain positions 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, pregnancy, or religious belief that prevents them from being vaccinated.

  • If you are 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 within the first 30 days of your employment. For the two COVID-19 shot regimen, you will be required to provide proof of your second COVID-19 shot within the first 60 days of your employment. Failure to provide timely proof of your COVID-19 vaccination status will result in the termination of your employment with CVS Health.

  • If you are unable to be fully vaccinated due to disability, medical condition, pregnancy, or religious belief, you will be required to apply for a reasonable accommodation within the first 30 days of your employment in order to remain employed with CVS Health. As a part of this process, you will be required to provide information or documentation about the reason you cannot be vaccinated. If your request for an accommodation is not approved, then your employment may be terminated.

Preferred Qualifications

  • 5+ years of professional work experience analyzing, interpreting, and summarizing large data sets- Knowledge of health insurance, managed care, or prescription drug industry- Advanced knowledge of data modeling and statistical analysis- Proficiency in SAS and SQL

Education

Bachelor’s degree required

Business Overview

At CVS Health, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.

We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, sex/gender, sexual orientation, gender identity or expression, age, disability or protected veteran status or on any other basis or characteristic prohibited by applicable federal, state, or local law. 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.

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