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Job Title :
Medical Claims Analysis, Senior Analyst
Job ID :
Location :
RI - Cumberland
Street Address :
400 Scenic View Dr
Category :
Description :
Job Description
In this exciting role, you will use your advanced problem solving and strong analytical skills to support the analytic needs of the emerging programs in the area of specialty trend management at CVS Health. In this position, you will be playing a lead role in the production of specialty spend opportunity analyses using medical claims data for both internal and external clients. You will be involved in full life cycle projects from executing the analytic workflow, data collection, data validation and analysis as well as producing and presenting final deliverables to clients using your exceptional verbal and written communication skills.

Required Qualifications
For candidates to be considered for this highly visible role, you must have a minimum of 3 years of experience analyzing medical claims line data* with datasets in excess of 5 million records, along with demonstrated success in producing relevant statistics and presenting your results to business partners/customers/clients.

You will have advanced programming experience using SAS and SQL with proficiency in Word, Access, Excel and PowerPoint.
*Pharmacy claims line data analysis experience will also be considered

Preferred Qualifications
Experience with Ad-hoc Analysis
Specialty or PBM experience (Pharmacy Benefits Management)
Attention to detail & commitment to quality
Ability to adapt quickly and execute tasks independently

Bachelors is Required
Advanced degree 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:

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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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