Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.
 
Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.

Responsibilities

Follow policies and best practices relating to the job function by analyzing client requests, determine the best operational approach and install adjudication related drug lists (eg formulary, clinical edits, plan coverage, etc) in Salesforce and Rxclaim/AS400

Ability to collaborate regularly with peers to audit, review and verify drug list coding and testing while utilizing various tools. Able to meet all turnaround time and performance guarantees with excellent quality. Capable of applying logical thinking to Identify process improvement opportunities

Primary Qualifications

2-3 years of direct work experience with PBM or Healthcare knowledge

Proficient use Microsoft Office applications, e.g. Excel, Word,Outlook, Teams

Experience with AS400 / RxCLAIM or related Healthcare Application

Working knowledge of SalesForce.com or similar Customer Relationship Management software

Preferred Qualifications

Certified Pharmacy Technician

Well organized with the ability to prioritize work effectively and independently

Flexible in adapting to change

Excellent time management skills

Excellent interpersonal and collaborative skills with the ability to work in a team environment

Ability to work successfully in a deadline-oriented environment with excellent quality

Excellent verbal and written communication skills

Strong analytical skills and attention to detail.

Ability to define problem, review data, establish facts, and draw valid conclusions

Customer focused

Education

High School Diploma or GED

Pay Range

The typical pay range for this role is:

$18.50 - $35.29

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.  The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.  This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. 
 
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities.  The Company offers a full range of medical, dental, and vision benefits.  Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees.  The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners.  As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.  
 
For more detailed information on available benefits, please visit Benefits | CVS Health

We anticipate the application window for this opening will close on: 11/22/2024

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.