drjobs Sr Analyst Claims Data Reporting

Sr Analyst Claims Data Reporting

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1 Vacancy
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Job Location drjobs

Scottsdale, AZ - USA

Monthly Salary drjobs

$ 46988 - 102000

Vacancy

1 Vacancy

Job Description

At CVS Health were building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nations leading health solutions company we reach millions of Americans through our local presence digital channels and more than 300000 purposedriven colleagues caring for people where when and how they choose in a way that is uniquely more connected more convenient and more compassionate. And we do it all with heart each and every day.

***This position is classified as hybrid and will be filled in either Scottsdale AZ. Irving TX. Northbrook IL. Hartford CT. or Woonsocket RI***

Position Summary
PBM Financial Operations Data Reporting is responsible for the implementation and ongoing support of Claims Experience Transmission (CET Files) on behalf of our Clients and their vendors.

The Senior Analyst will have primary responsibility and ownership of the administration of client and pharmacy claim data reporting. This position is responsible for ensuring the accuracy and prompt delivery of information to clients and vendors and the timely and complete resolution of related issues and requests including the monitoring of outbound files resolutions of errors and the creation of ongoing and ad hoc files.

The Senior Analyst position will also be responsible for supporting the implementation of new clients through the gathering of file requirements and the translation of those requirements into actual CET files researching and resolving issues that arise and the creation and documentation of process and procedures as well as the overall improvement of those processes.


Required Qualifications
2 years of professional work experience required
2 year of MS Office experience


Preferred Qualifications
Familiarity with Rx Claim and Claim Adjudication as well as experience in data sharing and reporting.


Education

Bachelors degree (or equivalent work experience)

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$46988.00 $102000.00

This pay range represents the base hourly rate or base annual fulltime 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 shortterm incentive program in addition to the base pay range listed above.

Our people fuel our future. Our teams reflect the customers patients members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in our comprehensive and competitive mix of pay and benefits investing in the physical emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages our great benefits include:

  • Affordable medical plan options a 401(k) plan (including matching company contributions) and an employee stock purchase plan.

  • Nocost programs for all colleagues including wellness screenings tobacco cessation and weight management programs confidential counseling and financial coaching.

  • Benefit solutions that address the different needs and preferences of our colleagues including paid time off flexible work schedules family leave dependent care resources colleague assistance programs tuition assistance retiree medical access and many other benefits depending on eligibility.

For more information visit anticipate the application window for this opening will close on: 05/09/2025

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal state and local laws.


Required Experience:

Senior IC

Employment Type

Full-Time

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