Consultant - Data Delivery

Job Description
As an Consultant - Data Delivery you will be responsible for the implementation and ongoing support of Claims Experience Transmissions (CET Files) on behalf of our clients and their vendors.

The Consultant will have primary ownership of the administration of client and pharmacy claim data and ensuring the accuracy and prompt delivery of information to clients and vendors and is responsible for the timely and complete resolution of client and vendor issues and requests. This includes the monitoring of outbound files, resolution of errors and the creation of ongoing and ad hoc files.

The preferred candidate will have:
- MS Office experience
- Effective written and verbal communication skills
- Strong ability to perform research and analysis
- Familiarity with RxClaim adjudication platform or AS400 system knowledge
- Experience with electronic data generation
- General understanding of pharmacy claims processing
- Strong problem solving skills and ability to negotiate successful solutions
- Excellent analytical and organizational skills

Required Qualifications
2+ years of professional work experience required.

Preferred Qualifications
- Background experience in pharmacy is desired
- Firm understanding of data collection, organization and data management systems
- Strong quality awareness and firm understanding of process flow evaluation
- Ability to make wise, independent decisions
- Ability to set and communicate work priorities

Education
Verifiable High School diploma or GED required.

Business Overview
It’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.


At CVS Health, we work every day to help people on their path to better health. Never has it been more important for us to deliver on our purpose to our valued customers, patients, members, and employees. With a presence in communities across the country, CVS Health colleagues are and will continue to be a critical piece of the country’s health care solution. The health and safety of our employees, patients, customers, and members is our top priority as we face the impact of COVID-19 together. If you would like to learn about the actions we are taking as a company as we learn more about COVID-19 and its spread, we encourage you to visit our COVID-19 resource center at https://cvshealth.com/covid-19

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. Please note that we only accept applications for employment via this site.


We provide reasonable accommodations to qualified individuals with disabilities. If you need to request an accommodation, a qualified interpreter, written information in other formats, translation or other services, please contact our Advice and Counsel Reasonable Accommodations team by emailing Advice and Counsel Reasonable Accommodations team or calling 877-805-9511.


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, contact the Modern Hire Help Desk at 1-877-451-1695 or cvs_support@modernhire.com.