CVS Health

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Consultant-Clinical Svs Med D (PA Admin)

at CVS Health

Posted: 6/19/2019
Job Reference #: 964572BR
Categories: Insurance
Keywords: insurance

Job Description

Job Title :
Consultant-Clinical Svs Med D (PA Admin)
Job ID :
Location :
TX - Richardson
Street Address :
1300 E Campbell Rd
Category :
Customer Service|Medicare
Description :
Job Description
The Consultant, Clinical Services Med D is responsible for ensuring that any changes to Med D CD&A systems, processes, letters, workflow, and business change requests are appropriately completed. This is a key role to ensure that clients, members and internal colleagues have CMS compliant tools that allow for complete and accurate processing of CD&A cases. The consultant may work with account teams, implementation managers, business requestors, and/or the UM Development/Medical Affairs teams to ensure that business intent is appropriately interpreted and then configured correctly and tested in the operating system. The consultant must be able to research and solve complex problems, perform root cause analysis, provide feedback and solutions for meeting our project plans and monthly/quarterly release timelines. The consultant is accountable for the process/task to be completed appropriately, consistent with the request intent, and on time.

Required Qualifications
Up to 3 years of prior experience with the following abilities:

1. Organize, prioritize and manage multiple tasks with a high level of detail.
2. Excellent Oral and Written communication skills to be utilized in a consultative fashion.
3. Strong Analytical Skills (Manipulation of data/ Testing and Configuration.)
4. Self-motivated individual with a quick learning curve on complex materials.
5. Ability to work in a high production, time sensitive environment.
6. Computer Knowledge including but not limited to: Microsoft office products, Windows based operations.

Preferred Qualifications
Up to 3 years of work experience with Prior authorizations, Med D, PBM, and/or MedHOK.

Required: High School Diploma or Equivalent
Preferred: Associate's or Bachelor's Degree

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!