CVS Health
We are a pharmacy innovation company with a simple and clear purpose: Helping people on their path to better health.
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Bring Fresh, New Ideas

Every day we seek out and implement new solutions from colleagues from all walks of life. Get ready to think much, much bigger.

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Our Company's Diversity Story

  • Workforce Representation: Reflecting the marketplace we serve and the demographics of our communities.
  • Colleague Engagement: Leveraging workplace relationships by creating and sustaining a culture of inclusion.
  • Talent Systems: Creating and optimizing policies, practices, programs and procedures that enable talent management.
  • Marketplace Strategic Diversity Management: Ensuring alignment with and engagement of all key external customers, clients and communities

Can A Veteran Keep Serving?

We’re a values-based organization focused on helping people on their path to better health. Here, you’ll work alongside former members of the military and current reservists and members of the National Guard.

We recognize the value of military spouses bring to our company and continue to look for ways to help you find employment.

 

Opportunities at CVS Health

Retail Store Manager - Duarte, CA
Job DescriptionGeneral Summary:The Store Manager In Training (SMIT) job is the first step in the CVS/pharmacy Retail Management Development Program, and is a short-term role (not to exceed 24 months) that provides both work assignments and training opportunities to prepare SMITs to be promoted into a Store Manager role. From the date of entry into the CVS/pharmacy Retail Management Development program as an SMIT, it may be possible to progress to a Store Manager position within 12 weeks-24 months, depending on the prior experience and performance of the SMIT, and then to field management and/or executive opportunities in 3-5 years.A SMIT is a member of the Store Management team, and as such, fulfills the company purpose of helping people on their path to better health by driving store execution and performance while building consumer loyalty to CVS/pharmacy through a focus on excellent customer service. Under the supervision of the Store Manager, the SMIT will maintain an engaged, productive store team through strong leadership, demonstrating initiative and leading by example.The SMIT is responsible for supporting the Store Manager in the total leadership and strategic operation of a CVS/pharmacy store including:* Overall store management, supervision, and policy implementation* Sales and inventory management* Employee staffing, training, and development* Financial management* Customer service leadershipThe Store Management team receives support from their individual store team, but other support and direction come from regional field management, call centers, distribution centers, and Customer Support Center headquarters.In addition to day-to-day management responsibilities, SMITs are also responsible for completing operations and management skills training, and learning about key aspects of the business and CVS/pharmacy culture, in order to prepare for promotion to a Store Manager position. This extensive training course is designed to provide a strong foundation to prepare a SMIT to be able to assume supervisory duties and operational control of a store immediately upon promotion into a Store Manager position. SMITs must maintain satisfactory performance and must demonstrate consistent progression through the training program in order to remain in the role and be considered for Store Manager openings. No SMIT may remain in role for longer than 24 months.Selection for the SMIT position does not guarantee promotion into a Store Manager position. Whether and when an SMIT is actually promoted to Store Manager is dependent on a variety of factors, including but not limited to performance and availability of Store Manager openings.Essential Functions:1. Management* Lead others and work effectively with store crews* Supervise, assign and direct activities of the store's crew* Effectively communicate information to store crew and supervisors in an open and timely manner* Support Store Manager with actions plans for operational and service improvement2. Customer Service* Assist customers with their questions, problems and complaints* Promote CVS customer service culture (greet, offer help, and thank)* Provide colleagues personalized customer service feedback and coaching (E.g., myImpact coaching; myCustomer feedback; personal observations)* Handle all customer relations issues in accordance with company policy* Promote a positive shopping experience for all customers* Maintain customer/patient confidentiality3. Merchandising/Presentation* Price merchandise* Stock shelves* Reset departments following POGs adapting them to a particular store* Organize and execute the display and signing of weekly, major promotional and seasonal merchandise* Organize and execute the display and maintenance of off-shelf merchandise4. Loss Prevention* Control use of register keys, securing door keys, alarm codes, and safecombinations* Execute locking of safe and security doors and setting of alarms when closing the store* Complete random cash verifications; journal tape checks; analyze Cashier Analysis Report* Identify and react to shoplifters and apprehend to secure company assets and process shoplifters accordingly* Protect store assets* Administer, monitor, and react to Internal Loss Prevention programs and systems: employee bag checks; lockers secured; receipts for purchases* Maintain and react to Electronic Article Surveillance system* Ensure price accuracy, using POS Price Accuracy Report and in-store price audits5. Operations* Respond to MIS* Review electronic journal* Access, input, retrieve and analyze information from the computer* Order regular and promotional merchandise, maintaining appropriate inventory levels using the Telxon machine* Maintain an organized office and backroom* Work reserve stock* Oversee and execute the preparation of the daily cash report and weekly summary* Develop sales/hours forecasts* Load and unload deliveries* Lift 35 pound trays/cases to a height of 4 feet* Move trays/cases from one location to another* Verify and document billing of merchandise (check-in merchandise)* Execute and document merchandise returns and inter-store transfers* Operate a cash register - including: cash, check and charge transactions* Bagging merchandise* Execute and document: Cash/check pulls; deposits; returned check payments; check acceptance;refunds; voids; discounts; cashier verifications; rain-checks; signing crew members on/off; taking closing readings* Deliver deposits and secure change from the bank maintain a balanced imprest fund* Schedule daily, weekly activities; prepare weekly work schedules based on store's budgeted hours* Finalize weekly payroll* Ensure compliance with all company policies and procedures and federal and state laws* Prepare, complete and distribute reports and records: paid out summary; key rec's (accounts payable); MU/MD; customer cash discrepancy; returnable merchandise; accident reports; various other surveys as requested* Open/close store* Conduct a walk through of the store and establish a prioritized list of tasks* Answer telephone* Identify and react to in-store repairs* Execute payment of outside vendors as appropriate6. Human Resources* Train, develop, and evaluate crew members and supervisors* Execute all necessary documentation for H.R.I.S. administration: hiring kits; staff enrollment forms, changes of status forms for all store personnel* Conduct performance appraisals for all directly assigned personnel* Ensure on-the-job safety of all employees and treatment for employee injuries sustained on the job* Coach and execute counseling discussions with store employees* Maintain a work place free from discrimination and harassment7. Financial Reporting/Administration* Analyze operating reports/documents and make recommendations on how to improve store performance and implement plans* Prepare the store for a physical inventoryDisclaimer:The above information on this description has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive invenRequired Qualifications Willingness to accept promotion into a CVS/pharmacy Store Manager position if promotion is offered Ability to transfer to other CVS/pharmacy stores located within the same District Ability to work a full-time flexible schedule, including some early morning, overnight and weekend shifts, to work overtime as needed, and to respond to urgent issues at the store when they arisePreferred Qualifications 5 + years of retail management experience, or experience as a CVS Supervisor Ability to transfer to other CVS/pharmacy locations outside of the same DistrictEducation A high school diploma or GED is required.- A four year college degree is preferred, or relevant work experience may be considered in lieu of a college degree.Business OverviewIt's a new day in health care.Combining CVS Health and Aetna was a transformative moment for our company and our industry, establishing CVS Health as the nation's premier health innovation company. Through our health services, insurance plans and community pharmacists, we're pioneering a bold new approach to total health. As a CVS Health colleague, you'll be at the center of it all.We offer a diverse work experience that empowers colleagues for career success. In addition to skill and experience, we also seek to attract and retain colleagues whose beliefs and behaviors are in alignment with our core values of collaboration, innovation, caring, integrity and accountability.CVS Health is an equal opportunity/affirmative action employer. Gender/Ethnicity/Disability/Protected Veteran - we highly value and are committed to all forms of diversity in the workplace. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities. 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. We provide reasonable accommodations to qualified individuals with disabilities. If you require assistance to apply for this job, please contact our Advice and Counsel Reasonable Accommodations team. Please note that we only accept applications for employment via this site.If technical issues are preventing you from applying to a position, contact Kenexa Helpdesk at 1-855-338-5609 or cvshealthsupport@us.ibm.com. For technical issues with the Virtual Job Tryout assessment, contact the Shaker Help Desk at 1-877-987-5352.
Retail Store Manager - Duarte, CA
Job DescriptionGeneral Summary:The Store Manager In Training (SMIT) job is the first step in the CVS/pharmacy Retail Management Development Program, and is a short-term role (not to exceed 24 months) that provides both work assignments and training opportunities to prepare SMITs to be promoted into a Store Manager role. From the date of entry into the CVS/pharmacy Retail Management Development program as an SMIT, it may be possible to progress to a Store Manager position within 12 weeks-24 months, depending on the prior experience and performance of the SMIT, and then to field management and/or executive opportunities in 3-5 years.A SMIT is a member of the Store Management team, and as such, fulfills the company purpose of helping people on their path to better health by driving store execution and performance while building consumer loyalty to CVS/pharmacy through a focus on excellent customer service. Under the supervision of the Store Manager, the SMIT will maintain an engaged, productive store team through strong leadership, demonstrating initiative and leading by example.The SMIT is responsible for supporting the Store Manager in the total leadership and strategic operation of a CVS/pharmacy store including:* Overall store management, supervision, and policy implementation* Sales and inventory management* Employee staffing, training, and development* Financial management* Customer service leadershipThe Store Management team receives support from their individual store team, but other support and direction come from regional field management, call centers, distribution centers, and Customer Support Center headquarters.In addition to day-to-day management responsibilities, SMITs are also responsible for completing operations and management skills training, and learning about key aspects of the business and CVS/pharmacy culture, in order to prepare for promotion to a Store Manager position. This extensive training course is designed to provide a strong foundation to prepare a SMIT to be able to assume supervisory duties and operational control of a store immediately upon promotion into a Store Manager position. SMITs must maintain satisfactory performance and must demonstrate consistent progression through the training program in order to remain in the role and be considered for Store Manager openings. No SMIT may remain in role for longer than 24 months.Selection for the SMIT position does not guarantee promotion into a Store Manager position. Whether and when an SMIT is actually promoted to Store Manager is dependent on a variety of factors, including but not limited to performance and availability of Store Manager openings.Essential Functions:1. Management* Lead others and work effectively with store crews* Supervise, assign and direct activities of the store's crew* Effectively communicate information to store crew and supervisors in an open and timely manner* Support Store Manager with actions plans for operational and service improvement2. Customer Service* Assist customers with their questions, problems and complaints* Promote CVS customer service culture (greet, offer help, and thank)* Provide colleagues personalized customer service feedback and coaching (E.g., myImpact coaching; myCustomer feedback; personal observations)* Handle all customer relations issues in accordance with company policy* Promote a positive shopping experience for all customers* Maintain customer/patient confidentiality3. Merchandising/Presentation* Price merchandise* Stock shelves* Reset departments following POGs adapting them to a particular store* Organize and execute the display and signing of weekly, major promotional and seasonal merchandise* Organize and execute the display and maintenance of off-shelf merchandise4. Loss Prevention* Control use of register keys, securing door keys, alarm codes, and safecombinations* Execute locking of safe and security doors and setting of alarms when closing the store* Complete random cash verifications; journal tape checks; analyze Cashier Analysis Report* Identify and react to shoplifters and apprehend to secure company assets and process shoplifters accordingly* Protect store assets* Administer, monitor, and react to Internal Loss Prevention programs and systems: employee bag checks; lockers secured; receipts for purchases* Maintain and react to Electronic Article Surveillance system* Ensure price accuracy, using POS Price Accuracy Report and in-store price audits5. Operations* Respond to MIS* Review electronic journal* Access, input, retrieve and analyze information from the computer* Order regular and promotional merchandise, maintaining appropriate inventory levels using the Telxon machine* Maintain an organized office and backroom* Work reserve stock* Oversee and execute the preparation of the daily cash report and weekly summary* Develop sales/hours forecasts* Load and unload deliveries* Lift 35 pound trays/cases to a height of 4 feet* Move trays/cases from one location to another* Verify and document billing of merchandise (check-in merchandise)* Execute and document merchandise returns and inter-store transfers* Operate a cash register - including: cash, check and charge transactions* Bagging merchandise* Execute and document: Cash/check pulls; deposits; returned check payments; check acceptance;refunds; voids; discounts; cashier verifications; rain-checks; signing crew members on/off; taking closing readings* Deliver deposits and secure change from the bank maintain a balanced imprest fund* Schedule daily, weekly activities; prepare weekly work schedules based on store's budgeted hours* Finalize weekly payroll* Ensure compliance with all company policies and procedures and federal and state laws* Prepare, complete and distribute reports and records: paid out summary; key rec's (accounts payable); MU/MD; customer cash discrepancy; returnable merchandise; accident reports; various other surveys as requested* Open/close store* Conduct a walk through of the store and establish a prioritized list of tasks* Answer telephone* Identify and react to in-store repairs* Execute payment of outside vendors as appropriate6. Human Resources* Train, develop, and evaluate crew members and supervisors* Execute all necessary documentation for H.R.I.S. administration: hiring kits; staff enrollment forms, changes of status forms for all store personnel* Conduct performance appraisals for all directly assigned personnel* Ensure on-the-job safety of all employees and treatment for employee injuries sustained on the job* Coach and execute counseling discussions with store employees* Maintain a work place free from discrimination and harassment7. Financial Reporting/Administration* Analyze operating reports/documents and make recommendations on how to improve store performance and implement plans* Prepare the store for a physical inventoryDisclaimer:The above information on this description has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive invenRequired Qualifications Willingness to accept promotion into a CVS/pharmacy Store Manager position if promotion is offered Ability to transfer to other CVS/pharmacy stores located within the same District Ability to work a full-time flexible schedule, including some early morning, overnight and weekend shifts, to work overtime as needed, and to respond to urgent issues at the store when they arisePreferred Qualifications 5 + years of retail management experience, or experience as a CVS Supervisor Ability to transfer to other CVS/pharmacy locations outside of the same DistrictEducation A high school diploma or GED is required.- A four year college degree is preferred, or relevant work experience may be considered in lieu of a college degree.Business OverviewIt's a new day in health care.Combining CVS Health and Aetna was a transformative moment for our company and our industry, establishing CVS Health as the nation's premier health innovation company. Through our health services, insurance plans and community pharmacists, we're pioneering a bold new approach to total health. As a CVS Health colleague, you'll be at the center of it all.We offer a diverse work experience that empowers colleagues for career success. In addition to skill and experience, we also seek to attract and retain colleagues whose beliefs and behaviors are in alignment with our core values of collaboration, innovation, caring, integrity and accountability.CVS Health is an equal opportunity/affirmative action employer. Gender/Ethnicity/Disability/Protected Veteran - we highly value and are committed to all forms of diversity in the workplace. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities. 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. We provide reasonable accommodations to qualified individuals with disabilities. If you require assistance to apply for this job, please contact our Advice and Counsel Reasonable Accommodations team. Please note that we only accept applications for employment via this site.If technical issues are preventing you from applying to a position, contact Kenexa Helpdesk at 1-855-338-5609 or cvshealthsupport@us.ibm.com. For technical issues with the Virtual Job Tryout assessment, contact the Shaker Help Desk at 1-877-987-5352.
Reimbursement Support Clerk
Job DescriptionBe part of our growing team at our Phoenix Finance facility! As a Reimbursement Support Clerk, you will have an exciting opportunity to support the Infusion Accounts Receivable Department with various Patient Financial Services (PFS) functions. In this role, you will be providing administrative support to the billing, collections, and cash applications business areas of the PFS team. Additional responsibilities of the Reimbursement Support Clerk role include:- Print and mail paper claims depending on payer requirements (e.g. claim attachments)- Print, scan, and load payer correspondence to ECM- Perform indexing and status functions as assigned- Provide general administrative support to billing, collections, and cash applications office- Key approved claim adjustments within relevant systems- Focus on attaining daily productivity standards, recommending new approaches for enhancing performance and productivity when appropriate- Comply with and adhere to all regulatory compliance areas, policies and procedures (including HIPAA and PCI compliance requirements), and "leading practices"- Complete and/or attend mandatory training and education sessions within approved organizational guidelines and time frameRequired Qualifications1+ years of administrative experience within a professional work environment1+ years of computer experience, using Microsoft Office softwarePreferred QualificationsKnowledge of medical insurance policies, reimbursement and medical terminology- Proven ability to work with a high degree of accuracy and attention to detail- Previous experience with clerical and/or administrative duties- Ability to multi-task and work independentlyEducationVerifiable High School Diploma or GED.Business OverviewIt's a new day in health care.Combining CVS Health and Aetna was a transformative moment for our company and our industry, establishing CVS Health as the nation's premier health innovation company. Through our health services, insurance plans and community pharmacists, we're pioneering a bold new approach to total health. Coram CVS/specialty infusion services is a leading national provider of specialty home infusion and specialty pharmacy services providing infusion therapies and services to over 20,000 patients each month.We offer a diverse work experience that empowers colleagues for career success. In addition to skill and experience, we also seek to attract and retain colleagues whose beliefs and behaviors are in alignment with our core values of collaboration, innovation, caring, integrity and accountability.CVS Health is an equal opportunity/affirmative action employer. Gender/Ethnicity/Disability/Protected Veteran - we highly value and are committed to all forms of diversity in the workplace. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities. 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. We provide reasonable accommodations to qualified individuals with disabilities. If you require assistance to apply for this job, please contact our Advice and Counsel Reasonable Accommodations team. Please note that we only accept applications for employment via this site.If technical issues are preventing you from applying to a position, contact Kenexa Helpdesk at 1-855-338-5609 or cvshealthsupport@us.ibm.com. For technical issues with the Virtual Job Tryout assessment, contact the Shaker Help Desk at 1-877-987-5352.
Reimbursement Support Clerk
Job DescriptionBe part of our growing team at our Phoenix Finance facility! As a Reimbursement Support Clerk, you will have an exciting opportunity to support the Infusion Accounts Receivable Department with various Patient Financial Services (PFS) functions. In this role, you will be providing administrative support to the billing, collections, and cash applications business areas of the PFS team. Additional responsibilities of the Reimbursement Support Clerk role include:- Print and mail paper claims depending on payer requirements (e.g. claim attachments)- Print, scan, and load payer correspondence to ECM- Perform indexing and status functions as assigned- Provide general administrative support to billing, collections, and cash applications office- Key approved claim adjustments within relevant systems- Focus on attaining daily productivity standards, recommending new approaches for enhancing performance and productivity when appropriate- Comply with and adhere to all regulatory compliance areas, policies and procedures (including HIPAA and PCI compliance requirements), and "leading practices"- Complete and/or attend mandatory training and education sessions within approved organizational guidelines and time frameRequired Qualifications1+ years of administrative experience within a professional work environment1+ years of computer experience, using Microsoft Office softwarePreferred QualificationsKnowledge of medical insurance policies, reimbursement and medical terminology- Proven ability to work with a high degree of accuracy and attention to detail- Previous experience with clerical and/or administrative duties- Ability to multi-task and work independentlyEducationVerifiable High School Diploma or GED.Business OverviewIt's a new day in health care.Combining CVS Health and Aetna was a transformative moment for our company and our industry, establishing CVS Health as the nation's premier health innovation company. Through our health services, insurance plans and community pharmacists, we're pioneering a bold new approach to total health. Coram CVS/specialty infusion services is a leading national provider of specialty home infusion and specialty pharmacy services providing infusion therapies and services to over 20,000 patients each month.We offer a diverse work experience that empowers colleagues for career success. In addition to skill and experience, we also seek to attract and retain colleagues whose beliefs and behaviors are in alignment with our core values of collaboration, innovation, caring, integrity and accountability.CVS Health is an equal opportunity/affirmative action employer. Gender/Ethnicity/Disability/Protected Veteran - we highly value and are committed to all forms of diversity in the workplace. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities. 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. We provide reasonable accommodations to qualified individuals with disabilities. If you require assistance to apply for this job, please contact our Advice and Counsel Reasonable Accommodations team. Please note that we only accept applications for employment via this site.If technical issues are preventing you from applying to a position, contact Kenexa Helpdesk at 1-855-338-5609 or cvshealthsupport@us.ibm.com. For technical issues with the Virtual Job Tryout assessment, contact the Shaker Help Desk at 1-877-987-5352.
Client Audit Advisor
Job DescriptionThe Advisor, Client Audit- Formulary Administration (FA) position is a client/auditor facing position that is responsible for coordinating, managing, tracking and assisting with multiple complex audits and support for Medicare Part D as assigned, specifically the CMS Program/Validation and Mock audits around FA (which includes Formulary Administration and Transition Fill). Skills must include an ability to obtain client and peer confidence by the demonstration of regulatory expertise, audit and industry experience and clear communication. In this position you will work closely with various government auditors, CVS Caremark clients, 3rd party consultants, client account teams, clinical operations and reporting teams, legal / compliance colleagues and trade areas to ensure the completion of client/government requested audits with consistency while minimally disrupting the business. The Advisor will be need to be client knowledgeable and effective on their feet in mitigating the impact of delegated service issues. This contributor will be responsible for the timely tracking, reporting and satisfactory resolution of exceptions identified during the audit process. Skills needed include abilities to analytically identify, track and encourage business owners in process improvement opportunities to reduce risks, as well as researching claim-specific questions.Position is work from home/can be located anywhere in the US.Required Qualifications-6 + years of work related experience-Strong Project Management skills that include the ability to adapt and deal effectively in dynamic, possibly unpredictable, environments while efficiently managing multiple projects from initiation through to completion. A working contributor responsible for each project's success-Strong adjudication system knowledge-Position will require some travel. Notice for such travel may be short and unpredictable. The duration of the various travel engagement may last approximately one full weekPreferred Qualifications-Prior audit and/or PBM experience-Medicare Part D experience-RxClaim adjudication system knowledge-Ability to interact effectively with Government Auditors and Clients while under pressure during a live audit is a must. Strong tolerance for ambiguity and stress-Must have excellent verbal and written communications skills-Attention to detail and organizational skills-Team building skills that effectively influence and engage others in issue resolution-demonstrates pro-activeness looking out for the success of the team and CVS Health-Solves complex problems; takes a fresh opinion on existing solutions; exercises judgment based on the analysis of multiple sources of information-Uses standard methodologies and knowledge of internal or external business issues to improve products or services-Strong ability to hold oneself and others accountable for mitigating risk and achieving resultsEducationBS/BA strongly preferred or HS diploma/GED and equivalent years of experience.Business OverviewIt's a new day in health care.Combining CVS Health and Aetna was a transformative moment for our company and our industry, establishing CVS Health as the nation's premier health innovation company. Through our health services, insurance plans and community pharmacists, we're pioneering a bold new approach to total health. As a CVS Health colleague, you'll be at the center of it all.We offer a diverse work experience that empowers colleagues for career success. In addition to skill and experience, we also seek to attract and retain colleagues whose beliefs and behaviors are in alignment with our core values of collaboration, innovation, caring, integrity and accountability.CVS Health is an equal opportunity/affirmative action employer. Gender/Ethnicity/Disability/Protected Veteran - we highly value and are committed to all forms of diversity in the workplace. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities. 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. We provide reasonable accommodations to qualified individuals with disabilities. If you require assistance to apply for this job, please contact our Advice and Counsel Reasonable Accommodations team. Please note that we only accept applications for employment via this site.If technical issues are preventing you from applying to a position, contact Kenexa Helpdesk at 1-855-338-5609 or cvshealthsupport@us.ibm.com. For technical issues with the Virtual Job Tryout assessment, contact the Shaker Help Desk at 1-877-987-5352.
Client Audit Advisor
Job DescriptionThe Advisor, Client Audit- Formulary Administration (FA) position is a client/auditor facing position that is responsible for coordinating, managing, tracking and assisting with multiple complex audits and support for Medicare Part D as assigned, specifically the CMS Program/Validation and Mock audits around FA (which includes Formulary Administration and Transition Fill). Skills must include an ability to obtain client and peer confidence by the demonstration of regulatory expertise, audit and industry experience and clear communication. In this position you will work closely with various government auditors, CVS Caremark clients, 3rd party consultants, client account teams, clinical operations and reporting teams, legal / compliance colleagues and trade areas to ensure the completion of client/government requested audits with consistency while minimally disrupting the business. The Advisor will be need to be client knowledgeable and effective on their feet in mitigating the impact of delegated service issues. This contributor will be responsible for the timely tracking, reporting and satisfactory resolution of exceptions identified during the audit process. Skills needed include abilities to analytically identify, track and encourage business owners in process improvement opportunities to reduce risks, as well as researching claim-specific questions.Position is work from home/can be located anywhere in the US.Required Qualifications-6 + years of work related experience-Strong Project Management skills that include the ability to adapt and deal effectively in dynamic, possibly unpredictable, environments while efficiently managing multiple projects from initiation through to completion. A working contributor responsible for each project's success-Strong adjudication system knowledge-Position will require some travel. Notice for such travel may be short and unpredictable. The duration of the various travel engagement may last approximately one full weekPreferred Qualifications-Prior audit and/or PBM experience-Medicare Part D experience-RxClaim adjudication system knowledge-Ability to interact effectively with Government Auditors and Clients while under pressure during a live audit is a must. Strong tolerance for ambiguity and stress-Must have excellent verbal and written communications skills-Attention to detail and organizational skills-Team building skills that effectively influence and engage others in issue resolution-demonstrates pro-activeness looking out for the success of the team and CVS Health-Solves complex problems; takes a fresh opinion on existing solutions; exercises judgment based on the analysis of multiple sources of information-Uses standard methodologies and knowledge of internal or external business issues to improve products or services-Strong ability to hold oneself and others accountable for mitigating risk and achieving resultsEducationBS/BA strongly preferred or HS diploma/GED and equivalent years of experience.Business OverviewIt's a new day in health care.Combining CVS Health and Aetna was a transformative moment for our company and our industry, establishing CVS Health as the nation's premier health innovation company. Through our health services, insurance plans and community pharmacists, we're pioneering a bold new approach to total health. As a CVS Health colleague, you'll be at the center of it all.We offer a diverse work experience that empowers colleagues for career success. In addition to skill and experience, we also seek to attract and retain colleagues whose beliefs and behaviors are in alignment with our core values of collaboration, innovation, caring, integrity and accountability.CVS Health is an equal opportunity/affirmative action employer. Gender/Ethnicity/Disability/Protected Veteran - we highly value and are committed to all forms of diversity in the workplace. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities. 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. We provide reasonable accommodations to qualified individuals with disabilities. If you require assistance to apply for this job, please contact our Advice and Counsel Reasonable Accommodations team. Please note that we only accept applications for employment via this site.If technical issues are preventing you from applying to a position, contact Kenexa Helpdesk at 1-855-338-5609 or cvshealthsupport@us.ibm.com. For technical issues with the Virtual Job Tryout assessment, contact the Shaker Help Desk at 1-877-987-5352.
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