Job DescriptionThe Data Validation (DV) - Senior Coordinator will conduct quality validation activities to ensure data for fulfillment triggers of print materials meet regulatory requirements and accuracy standards. The Data Validation - Senior Coordinator will also work with other team members to incorporate quality enhancements from further downstream in the communications process. This role involves a significant amount of data review, root cause analysis, and solution recommendation. Considerable independent judgment and prioritization are needed to make decisions in carrying out assignments with significant impact on services to members. The Data Validation - Senior Coordinator will conduct data validation on inputs that trigger member communications including identifying high risk data files. Other responsibilities include: - Ensuring data files are produced in accordance with approved business logic rules. - Assisting in developing standards for data file quality validation. - Evaluate whether communication data inputs fulfill requirements, resolve issues efficiently, and work with stakeholders on issue escalation when adjustments are necessary. - Developing a strong working knowledge of Member Communications Operations processes including implemented technology. - Reviewing and making recommendations on standardized processes across the team to continuously drive to better on-time and on-budget outcomes. - Ensuring that all communication data inputs are evaluated with consistency, reliability and accountability for clients and members
Required Qualifications - At least 3 years of overall related experience of Center for Medicare/Medicaid Services (CMS) guidelines for Medicare Part D enrollment processes or previous work experience in regulatory environment - Software proficiency covering a variety of applications with emphasis on member enrollment systems, Microsoft Excel, and Microsoft Access
- Experience with handling privacy/confidentiality—physical and electronic security of Protected Health Information (PHI)
- Demonstrated desire to take ownership of projects in order to see them to successful execution
- Familiarity with data encryption, data cleansing, or auditing
- Ability to work weekends and holidays when needed
- Experience with the health care industry and insurance or other regulatory requirements, particularly around Medicare Part D, a STRONG plus Experience.
Preferred Qualifications- Attention to detail with quality control mindset and experience with quality control tools - Strong business analytical abilities with an understanding of sampling methodologies ) - Can quickly identify and escalate issues in a constructive manner to the appropriate resource - Problem solving skills with a focus on seeking new ideas, and/or approaches to solutions - Strong time management skills and multitasking abilities - Demonstrated desire to take ownership of projects in order to see them to successful execution - Exceptional oral and written communication skills with the ability to manage expectations of people at all levels in a cross-functional environment and the ability to translate various types of data into information that can be used to make business decisions - Positive, team-oriented attitude and approach to getting work done - Reliable, resourceful, flexible when necessary, and known for a sense of initiative - Comfortable in both team player and team lead roles - Dependable/Responsible/Accountable - Excellent spoken and written communication skills - Capable of managing through transition, while fostering a positive team environment - Confident in decision making ability within strict timelines - Exceptional prioritization and organizational skills - Acts with integrity and uses sound judgment in dealing with confidential information
EducationHigh school diploma or GED required, Bachelors degree in Marketing preferred
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
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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: https://jobs.cvshealth.com/