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Job Title :
Medicare Program Services, Advisor
Job ID :
750800BR
Location :
IL - Northbrook
Street Address :
9501 E Shea Blvd
Category :
Account Management
Description :
Job Description

ADVISOR FOR MEDICARE PROGRAM SERVICES


Are you an innovator self starter? Do you want to make a difference? Are you in search of a challenge? If you feel this describes you, please read about our company and position below! CVS Health is an American retail pharmacy and health care company headquartered in Woonsocket, Rhode Island. CVS Health has numerous successes and accomplishments. We are the #7 revenue company on the Fortune 500 list. We have over 9700 retail locations throughout the US, Puerto Rico and Brazil and employee over 250K employees. We are a creative company that is trying to reinvent pharmacy to help people on their path to better health.


POSITION SUMMARY:


As the Advisor for Medicare Program Services, you are the liaison to business partners throughout the company to help communicate with departments business projects. These projects support operational changes based on Centers for Medicare & Medicaid Services (CMS) guidance. They also help improve existing business processes, address client requests or drive advancement of enterprise objectives. Your role is to provide subject matter expertise for our products and prevent unintended negative consequences. The Program Manager needs to be adept at managing various aspects of project planning, conducting risk analysis, articulating detailed and technical functional design requirements, participating in meaningful cross-functional dialogue on complex topics, and preparing project closure documents to adequately transition new functionality to operations. In addition, your ability to assess accuracy of claims adjudication processes and benefit setup will be essential in this role

As part of the Transitional Fill Department you will be part of a creative and aggressive initiative aimed at transforming health care and pharmacy incorporating new information technologies and channels. We are looking for someone that has drive and can work cohesively with their colleagues.


ADDITIONAL RESPONSIBILITIES INCLUDE:


1. Participating in IT projects to define business requirements

2. Access project risks to business project

3. Articulate the vision and purpose for changes in a meaningful way

4. Serve as the accountable representative from the Transition Fill team

5. Being responsible for the successful deployment of projects into operations. Projects may pertain to any of the products in our department’s portfolio

6. Assist in the design of project testing and validation to ensure results of projects meet expectations




Required Qualifications

REQUIRED SKILLS:


1. 5+ years of Pharmacy Benefit Management, Medicare Part D or Managed Care experience

2. 3+ years Project Management or Business Analyst experience



3. Bachelor's degree is required; equivalent work experience may substitute.



Preferred Qualifications
PREFERRED SKILLS:


1. Experience with Medicare Part D or other government regulated programs

2. Experience writing business requirements and/or configuring benefits

3. Expertise with MS Visio, Project, and SharePoint

4. PharmD, RPh or LCPT licensure

5. PMP Certification








Education
Bachelor's degree is
required; equivalent work experience may substitute.


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/

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Our culture

CVS Health core values of Innovation, Collaboration, Caring, Integrity, and Accountability not only support our purpose of helping people on their path to better health for our customers and patients, but they also apply to how we support our more than 250,000 colleagues. You will find our culture at CVS Health, and our leaders encourage personal and professional growth.

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