CVS Health Clinical Health Plan Sales Analyst in San Antonio, Texas

Job Description

Our Clinical Health Plan sales analyst role is a great opportunity for an individual who has an interest in pharmacy and the managed care environment. The individual will work with data that will help the Clinical Account Services department provide the best service possible to clients. This role will work closely with many of our Clinical Advisors who are aligned to our various Health Plan clients in order to provide assistance in the day to day management of the clinical service offerings we provide.

The Clinical Analyst will support many of the activities related to the services listed above including manipulating internal reporting tools to meet client reporting requirements.

Some examples of the clinical service offerings we provide are:

-Implementation of new clinical solutions

-Utilization of formulary management tools

-Analyzing physician and patient drug use data to identify patterns

Duties include:

-Reporting and Operational Support

-Supporting clinical advisors to help meet client reporting requirements

-Supporting clinical advisors on data needed for Pharmacy &Therapeutics committees

-Supporting clinical advisors to help communicate client formulary changes to internal partners

-Clarifies needs and suggests innovative ideas to meet client/clinical advisor requests

-Provides consultative analysis of results and suggests additional analysis when appropriate

-Consistently performs quality checks reports/deliverables and ensures data is accurate before sharing with clinical advisor

-Proactively suggests solutions and integrates best practices across accounts

-Researches and interprets claims data, plan coding, copay structure etc.

-Assists with clinical ad hoc mailings, running utilization queries and coordinating the mailings with Clinical Fulfillment

-Med D specific - upload and output formularies

-Export change files, adjust tiering, add, change and remove medications

-Customize member formulary documents

Required Qualifications

  • 3+ years of work experience in a health plan, PBM, Pharmacy, benefits or insurance background.

  • 3+ years of experience in Microsoft Office suite including proficient skills utilizing Outlook, Access, Word, Excel and PowerPoint.

  • Strong analytical skills and experience with analytic software and reporting programs

Preferred Qualifications

  • Experience using Access database builds

  • Experience in Toad, Oracle, SQL, SAS

  • Experience in analytical review and QC of reports

  • Pharmacy experience

  • Strong communication skills

  • Ability to work at a fast pace

  • Critical thinking skills

  • Ability to work in a team setting

  • Ability to demonstrate strong problem solving skills

Education

High School Diploma or GED required

Bachelor's 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 at https://www.dol.gov/ofccp/regs/compliance/posters/pdf/eeopost.pdf and EEO IS THE LAW SUPPLEMENT at https://www.dol.gov/ofccp/regs/compliance/posters/ofccpost.htm

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 Advice and Counsel at mailto:Advice&Counsel@cvshealth.com

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/