CVS Health Payer Performance Analyst in Woonsocket, Rhode Island

Job Description

The Payer Performance Analyst is responsible for analyzing pharmacy transactional data to identify issues and opportunities related to compliance and operational efficiencies. In this role, you will focus on using analytics to translate data into Business Intelligence, conducting root cause analytics, identify trends, internal/external system gaps, opportunities, and ensure compliance with industry standards. The day-to-day experience of the role will vary –conducting root cause analysis, discovering store needs, aligning with key partners, and monitoring results of new enhancements. This position requires the ability to work independently as well as working in a team environment.

Required Qualifications

3+ years of analytical experience within pharmacy, healthcare, managed care, or related field

Preferred Qualifications

Superior analytical and problem solving skills

Highest level of attention to detail and ability to manage multiple assignments simultaneously, adjust priorities to focus on the highest impact activities and meet deadlines

Creativity and investigative nature in regard to identifying solutions to company and industry problems

Experience and technical understanding of pharmacy claims processing, contracting and NCPDP standard

Understanding of Microstrategy and how data is associated within DW tables

Advanced skills using spreadsheets, databases and presentation software, including MS Word, Excel Access and Powerpoint

Excellent oral and written communication skills, can communicate openly and proactively

Ability to work with a variety of personnel with varying degrees of technical skills

Aptitude to communicate complex analytic findings and conclusions in an easy to understand way

Ability to collaborate with internal and external partners to develop analytic models, methodologies and reports that support business needs

Ability to work independently in a fast paced environment and also work within a team environment

Education

Verifiable High School diploma or GED is required

Bachelor’s Degree in Health Care Administration, Business Administration, or related field strongly 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 EEO AA CVS Health at mailto:EEO_AA@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/