May 30, 2020

Senior Analyst - Client Data

  • Professional Diversity Network
  • Scottsdale, AZ, USA
Retail

Job Description

CVS Health

Job DescriptionThe Medicaid Senior Analyst - Client Data will be a key contact for Medicaid Encounter, Response file, and system enhancements and testing within the Encounter Management System. The Medicaid Senior Analyst - Client Data will assist their department peers and Managers in enhancing the current business processes. Additional responsibilities of the Medicaid Senior Analyst - Client Data are assisting with the configuration and testing of Encounter Files, as well as providing support for and leading projects regarding enhancements or changes to new and existing Encounter processes.Writing User Stories and using the tools that surround varied methodology.Required QualificationsRequired: - 2+ years of Pharmacy Benefit Manager (PBM) or Healthcare industry experience.-Strong analytical and problem-solving skills.Preferred Qualifications- Experience working with NCPDP Standards (D.0, PostAdjudicated), and State Medicaid Encounter file submissions.- Above average Excel skills.- Must have strong problem solving skills with the ability to work independently.- Previous experience with SDLC, requirements gathering,business process testing/validation, and UAT.-Experience or strong ability to work with SQL, Job submission, database libraries-Ability to create screen mockup.- Gather Project requirements for Acceptance Criteria -Knowledge of Pharmacy Claims and Adjudication a plus.-Working knowledge of Rally or Agile testing -Experience in claim file delivery, claim research, or data file transmission.-Ability to understand complex system functionality.EducationEducation: Verifiable High School Diploma or GED required. Bachelor Degree preferred.Business OverviewIt'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. At CVS Health, we work every day to help people on their path to better health. Never has it been more important for us to deliver on our purpose to our valued customers, patients, members, and employees. With a presence in communities across the country, CVS Health colleagues are and will continue to be a critical piece of the country's health care solution. The health and safety of our employees, patients, customers, and members is our top priority as we face the impact of COVID-19 together. If you would like to learn about the actions we are taking as a company as we learn more about COVID-19 and its spread, we encourage you to visit our COVID-19 resource center at https://cvshealth.com/covid-19 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. Please note that we only accept applications for employment via this site. We provide reasonable accommodations to qualified individuals with disabilities. If you need to request an accommodation, a qualified interpreter, written information in other formats, translation or other services, please contact our Advice and Counsel Reasonable Accommodations team by emailing Advice and Counsel Reasonable Accommodations team or calling 877-805-9511. If technical issues are preventing you from applying to a position, contact Kenexa Helpdesk at 1-855-338-5609 or cvshealthsupport@us.ibm.com. For technical issues with the Virtual Job Tryout, contact the Modern Hire Help Desk at 1-877-451-1695 or cvs_support@modernhire.com.PDN-1255715BR

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