Job Information
CVS Health Medical Account Analyst, Revenue Cycle in Providence, Rhode Island
Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.
Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.
Position Summary
The primary responsibility of the Third Party Medical Account Analyst is to support the Third Party Medical Account Management team to reduce bad debt, eliminate legal risk, and help ensure compliance to all federal/state requirements and CVS Health obligations. The TP Medical Analyst will be responsible for performing trend analysis on payer exceptions, liabilities, reviewing reports and current procedures, identifying issues, recommending/implementing process improvements, and ensuring compliance. The TP Analyst will work closely with Third Party Medical Account Management team, as well as other internal and external partnerships for the implementation of process enhancements resulting in short/long term resolutions.
Required Qualifications
Prior work experience from 1 to 3 years (retail pharmacy, PBM, banking/health insurance claims processing, analyst preferred)
Strong analytical, critical thinking, organizational and prioritization skills with attention to detail, accuracy and follow through.
Ability to work individually or with a team to systematically identify and define problems, evaluate alternatives and implement practical, cost-effective solutions. Ability to frame recommendations and formally present them to management
Excellent verbal and written communication skills and the ability to develop open and trusted relationships across the organization (Directors, Managers, Colleagues, and external entities) to drive decisions.
Ability to work in strict confidence, ensuring the confidentiality of patient and medical and financial records, at all times, in compliance with company and HIPAA Privacy guidelines.
Flexibility to adapt to a changing environment, quickly making sound decisions and the desire to seek continued professional growth.
MS Operating Systems and MS Office applications (such as MS Word, Excel, Access, and Outlook)
Structured Query Language (SQL) skills (MicroStrategy or other data mining tools).
Think creatively, make intelligent decisions, and be a self-starter with limited guidance, coaching and to proactively develop and present potential solutions.
Ability to complete routinely assigned work based on productivity standards (SLA) with minimal supervision
Education
HS/equivalent
Pay Range
The typical pay range for this role is:
$43,888.00 - $93,574.80
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.
For more detailed information on available benefits, please visit Benefits | CVS Health (https://jobs.cvshealth.com/us/en/benefits)
We anticipate the application window for this opening will close on: 09/27/2024
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.