Job Description Join Fortune 7 CVS Health as a Client Audit, Advisor within our PBM commercial audit team in our Northbrook, IL office. As a Client Audit, Advisor, you will assist primarily with day to day activities and responsibilities for the claims accuracy and client audits. The Client Audit, Advisor is a client facing project management role that is responsible for completing contractually required claims accuracy, performance guarantees and coordinating, managing and assisting with commercial client audits as assigned. In this position you will work closely with various third party consultants and auditors, client account teams, legal and trade areas to ensure the completion of guarantees and client requested audits with consistency and minimal disruption to the business. In this role you will be responsible for the timely and satisfactory resolution of exceptions identified during the review and audit processes. This position will also be expected to identify process enhancement opportunities to reduce or eliminate risk of future performance guarantee and audit exceptions. Required Qualifications Minimum of 6+ years relevant experience in project management or audit experience or PBM insurance/healthcare experience. Preferred Qualifications Proven ability to adapt and deal with a dynamic environment and effectively and past experience managing projects from initiation to conclusion.
Minimum of 2+ years in audit, compliance or risk management.
Proven attention to detail is a must.
PBM experience.Education Bachelors degree or equivalent years of experience:with high school diploma or GED.
CPA, CIA or MBA preferred. Business Overview
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
and EEO IS THE LAW SUPPLEMENT
Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. If you require assistance to apply for this job, please contact us by clicking EEO AA CVS Health
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/