CVS Health

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Network - Senior Consultant

at CVS Health

Posted: 9/23/2019
Job Reference #: 1040704BR

Job Description

Job Description
Exciting opportunity to directly manage excellent working relationships with CVS Caremark pharmacy and provider networks. Ideal candidate is a Subject Matter Expert of NCPDP electronic healthcare transactions. This position will be responsible for the management and maintenance of the Pharmacy Network Document Repository. This involves collaborating with internal partners to ensure the application is meeting customer needs. The Sr. Analyst will also partner with various internal teams to support a successful Medicaid State Roster program. Candidate will also be responsible for providing data support with regards to Medicare Part D transactions such as Information Reporting (N). The Sr. Analyst will be responsible for supporting the certification process, partnering with software vendors, to ensure industry compliance. Candidate will collaborate with multiple internal business partners to implement or resolve pharmacy network issues. This position will help support user acceptance testing for Pharmacy Network projects, which can include coordinating and testing enhancements to CVS Caremark programs so that they are designed to work within industry standards and practices. This position is part of a high-performance group that is supportive of fellow team members. Outstanding technical and communication skills are beneficial for success.

Required Qualifications
Strong technical problem-solving and trouble-shooting abilities. Proficient MS Office skills including Excel, Word, Outlook, and Access. Excellent verbal and written communication skills, interpersonal communication/social skills. Strong research, analytical and problem-solving capabilities. Ability to work independently and to manage multiple tasks simultaneously.

Preferred Qualifications
SQL knowledge recommended. Project management expertise. Knowledge of pharmacy network operations and adjudication processes across CVS Caremark platforms is desired. Knowledge of client set up activities and claims processing flow. A good understanding of healthcare plans and benefits for provider/payer needs are desired. Knowledge of and Medicare Part D experience desired. NCPDP transactions vD.* and N Transactions desired. Knowledge of document storage skills preferred.

Bachelor's degree with 1-3 years experience or similar work experience.

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!