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Client Benefits Testing - Senior Consultant

at CVS Health

Posted: 3/25/2019
Job Reference #: 903654BR

Job Description

Job Title :
Client Benefits Testing - Senior Consultant
Job ID :
Location :
TX - Irving
Street Address :
750 W John Carpenter Fwy Ste 1200
Category :
Description :
Job Description
We are looking for passionate, driven people who want to join a high energy and growing team that will make a difference in our customers’ lives and who is willing to work for Client Implementations and Process Improvements.

This is a Sr. Consultant position within the Testing Team. This individual will support Formulary, UM and Benefits testing, Smart Edit testing, regular Maintenance of business testing for the PBM and work with our internal customers along with other job duties as required. This Sr. Consultant will need to identify the best approaches and strategies for ensuring the accuracy of Formulary, UM and Benefits and could be requested to discuss test results with senior leadership across multiple lines of business.

This Sr. Consultant will serve as a subject matter expert (SME) for Formulary, UM and Benefits issues, which will include running queries and claims and analyzing Testing defects either within the Testing team or with our Internal Customers. This individual will be required to identify areas of improvement and will need to successfully engage internal business partners and leaders as needed; to resolve issues, drive results and meet project target dates as required by management.

This Sr. Consultant will participate in process improvements across multiple business units as required by Client Services leaders. This individual will work with Client Benefits, Membership Operations, Account Management and Implementation management along with senior leadership to improve the overall Quality of the Client Implementation experience.

Required Qualifications
- 3+ years of experience within a the Healthcare or PBM role specifically analyzing and testing data.
- 3+ years of experience professionally working with Microsoft Office

Preferred Qualifications
- 4-5 years experience in Healthcare or a PBM desired.
- Prioritize, manage multiple assignments, and direct the work of others to meet deadlines.
- Excellent communication (Verbal and Written) and collaboration skills.
- Superior organization, project management, and prioritization skills.
- Courteous and professional demeanor with the desire and ability to work as a team.
- Ability to interact and influence with senior leadership of the organization.
- Understanding of Federal and State agencies and their role in Healthcare legislation.
- Knowledge in Health Plan benefit structures.
- Experience with SQL and Queries is preferred.
- Strong analytical skills and attention to detail. Ability to define problem, collect data, establish facts, and draw valid conclusions.
- Knowledge and experience with Clinical Operations in the Medicaid and Medicare environment.
- Ability to research, analyze and interpret CMS rules and regulations, then apply them to current work assignments.
- Knowledge of RxClaim (AS400), EZQuery and EZTest tools

Verifiable Bachelor’s degree Required and/or equivalent work experience considered

Business Overview
CVS Health, through our unmatched breadth of service offerings, is transforming the delivery of health care services in the U.S. We are an innovative, fast-growing company guided by values that focus on teamwork, integrity and respect for our colleagues and customers. What are we looking for in our colleagues? We seek fresh ideas, new perspectives, a diversity of experiences, and a dedication to service that will help us better meet the needs of the many people and businesses that rely on us each day. As the nation’s largest pharmacy health care provider, we offer a wide range of exciting and fulfilling career opportunities across our three business units - MinuteClinic, pharmacy benefit management (PBM) and retail pharmacy. Our energetic and service-oriented colleagues work hard every day to make a positive difference in the lives of our customers.

CVS Health is an equal opportunity employer. We do not discriminate in hiring or employment against any individual on the basis of race, ethnicity, ancestry, color, religion, sex/gender (including pregnancy), national origin, sexual orientation, gender identity or expression, physical or mental disability, medical condition, age, veteran status, military status, marital status, genetic information, citizenship status, unemployment status, political affiliation, or on any other basis or characteristic prohibited by applicable federal, state or local law. CVS Health will consider qualified job candidates with criminal histories in a manner consistent with federal, state and local laws. CVS Health will not discharge or in any other manner discriminate against any Colleague or applicant for employment because such Colleague or applicant has inquired about, discussed, or disclosed the compensation of the Colleague or applicant or another Colleague or applicant. Furthermore, 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

Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. If you require assistance to apply for this job, please contact us by clicking Advice and Counsel

CVS Health does not require nor expect that applicants disclose their compensation history during the application, interview, and hiring process.

For inquiries related to the application process or technical issues please contact the Kenexa Helpdesk at 1-855-338-5609. For technical issues with the Virtual Job Tryout assessment, contact the Shaker Help Desk at 1-877-987-5352. Please note that we only accept resumes via our corporate website:

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!