Analyst, Investigations Jobs

The Analyst will be responsible for receiving, entering payment /adjudication suspensions into an internal database as well as CMS HPMS portal meeting CMS expectations and timelines for our enrolled clients. Assist with erroneous billing inquiries from members for plans enrolled in CFWA. Assist Snr Analyst with data mining and identifying outliers for investigative purposes. Support Snr Analyst in documentation creation and data base entry.
Pay Range
The typical pay range for this role is:
Minimum: 19.50
Maximum: 40.10
Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will take into account a wide range of factors, including location.
Required Qualifications
Pharmacy experience and certified pharmacy technician in good standing.
Preferred Qualifications
2 to 3 years PBM or Retail experience; 1 to 3 years data base entry; 1 to 3 years FWA experience
Education
High School Graduate
Business Overview
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. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. 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. 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.