Analyst, Financial Operations

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
CVS Health is seeking an Analyst, Financial Operations, to join our team! This position will support the POS Rebates program, its clients and the POS Rebate Manager.
The Analyst will:

• Support POS Rebates operations, processes and client implementations.
• Support POS Rebates Team.
• Serve as backup subject matter expert on the POS Rebates program.
• Provide inquiry support for account teams, client underwriting, legal, internal audit, client audit and clients.
• Support issues and program enhancements to resolution.
• Present to account teams and clients on the product and value proposition.
• Support POS Rebates quarterly underwriting rate, NDC load and invoice-to-POS Rebates achievement audits, and analysis.
• Support quarterly POS Rebate client analysis, statement generation confirmation and rate/forecast, and modulator adjustment activities.
• Assist in coordinating and documenting business requirements for product enhancement.
• Develop and document business requirements and operational specifications. Help provide and validate client reporting.

This position will have primary responsibility to provide:

• Formulary research support to Rebate Invoicing and Clinical Operations for the purpose of researching and evaluating client formulary positioning to determine rebate eligibility for POS Rebate clients.
• Perform detailed analysis at NDC level to reconcile and perform quality checks on POS Rebate rates, PA and Step Therapy flag parameters, and pharmacy exclusions.
• Assist in assessing any client or member issues and service warranties as needed.
• Support formulary research on a monthly & quarterly basis on drugs on each company/client formulary to determine relative to the appropriate Manufacturer contract its eligibility for rebate invoicing for that period.
• Conduct specific formulary research to support rebate and forecasting teams during the contract negotiating process, rebate invoicing team as questions are identified during the invoicing process, rebate audit team as questions arise on audits by Manufacturers, and Clinical Managers and Clients.
• Support Services as they work with clients in the development of formularies.

Required Qualifications

• 6 or more months of professional work experience with business analysis

Preferred Qualifications

• Cross-functional knowledge on adjudication platforms, EDW, finance systems and Rebate Payment System, formulary research FRS system and formulary systems.
• Strong knowledge of:
• Plan design and relation to formulary. Includes PA, copay structure and tiering.
• Detailed claims elements including cost elements.
• Formulary concepts and drivers of rebate eligibility.
• Knowledge of rebate research and invoicing processes.
• Systems development life cycle and IT processes.
• Ability to analyze large data sets and evaluate trends and key root causes of claim issues.
• Working knowledge of client and or pharmaceutical contracts.
• Proficient in MS Excel. Visio/flowcharting and data query tools experience desired.
• Strong project management skills desired. Attention to detail and analytical abilities required.
• Ability to work closely with key business counterparts to facilitate business solutions and to manage/influence individuals in cross functional teams.
• Excellent verbal and written communication skills.
• Ability to interpret business rules into technical
• requirements.
• Ability to understand financial models and practices.

Education

• Bachelors Degree required

Business Overview
At CVS Health, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.
We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, sex/gender, sexual orientation, gender identity or expression, age, disability or protected veteran status or on any other basis or characteristic prohibited 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.
Pay Range
The typical pay range for this role is:
$40,600.00 - $89,300.00
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 jobs.CVSHealth.com/benefits
CVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated.
You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.
CVS Health is committed to recruiting, hiring, developing, advancing, and retaining individuals with disabilities. As such, we strive to provide equal access to the benefits and privileges of employment, including the provision of a reasonable accommodation to perform essential job functions. CVS Health can provide a request for a reasonable accommodation, including a qualified interpreter, written information in other formats, translation or other services through ColleagueRelations@CVSHealth.com If you have a speech or hearing disability, please call 7-1-1 to utilize Telecommunications Relay Services (TRS). We will make every effort to respond to your request within 48 business hours and do everything we can to work towards a solution.