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PHARMACY CREDENTIALING & AUDIT ANALYST

Previous accounting or auditing experience, detail oriented in reviewing documentation. Strong interpersonal skills, written and verbal communication skills. Strong knowledge of mainframe applications for pharmacy enrollment and c...

CompanyCvs Health
AddressArizona, United States
CategoryInformation Technology
Date Posted 7 days ago See detail

Pharmacy Credentialing & Audit Analyst

Cvs Health

Arizona, United States

Previous accounting or auditing experience, detail oriented in reviewing documentation. Strong interpersonal skills, written and verbal communication skills. Strong knowledge of mainframe applications for pharmacy enrollment and c...

DELIVERY DRIVER - Full Time

Cvs Health

Colorado, United States

Provide timely and accurate delivery of medication, equipment, products and/or supplies into long term care facilities or patients homes. Load products/materials. Responsible for vehicle maintenance and alerting management for ma...

Nurse Practitioner (NP)

Cvs Health

South Carolina, United States

This includes a focus on Transformational Leadership, Quality, Safety, Shared Governance, Well-being, and Professional Development.Our NPs/PAs Enjoy: Autonomy to run your own practice with refreshing collaborator and organization...

Business Compliance, Senior Manager Remote

Cvs Health

Hartford, CT

East or Central candidates (willing to work Eastern hours). Minimum 7+ years experience in a regulatory compliance position. Healthcare experience and knowledge. Demonstrated working knowledge of Federal laws concerning health ca...

Associate Data Engineer ( SQL , ETL , RDB , Cloud )

Cvs Health

Austin, TX

6+ months Data Engineering / Data Integration experience. 6+ months SQL. 6+ months ETL (i.e. Informatica/DataStage) experience. 6+ months Relational Database experience (Teradata, SQL Server, Oracle). 6+ months Cloud computing (pr...

Medical Economics (Medical Expense Review) Manager-Remote

Cvs Health

Connecticut, United States

***This role is classified as hybrid and will be filled in one of the core CVS locations of Hartford CT, Woonsocket RI, Northbrook IL, Scottsdale AZ, Irving TX, Atlanta GA, Cary NC, Concord CA, Chicago, IL, or Blue Bell, PA. Addit...

IT Health Care Benefits Intern - Undergrad - Summer 2024

Cvs Health

Arizona, United States

You will be aligned to projects to lead or contribute to while also participating in networking, development, and career exploration activities. This is a hybrid position with 3 days (generally Tuesday, Wednesday, and Thursday) in...

Pharmacy Intern

Cvs Health

Illinois, United States

Participates in all aspects of the prescription filling process. Providing Patient Counseling. Collaboration with all Healthcare Professionals to provide coordinated patient care. Offering Health Screenings and Immunizations when...

Web Platform Engineer

Cvs Health

Albany, NY

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 affordab...

Registered Nurse -Post Acute Care Initiatives Hybrid/Float RN Onsite NYC

Cvs Health

New York, United States

Uses clinical knowledge, communication skills, and independent critical thinking skills towards interpreting criteria for the most appropriate treatment, care or services for patients. Coordinates and communicates with providers,...

Lead Director, Payer Relations

Cvs Health

Providence, RI

Structured & Logical Thinking:The ability to identify and define business problems and issues, and develop strategic, analytical, and financial frameworks to conduct analysis and/or measure success.. Analytical Rigor: Proven cap...

Utilization Management Clinical Consultant

Cvs Health

Louisiana, United States

Utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program.. Applies critical thinking and is knowledgeable in clinically appropriate treatment, evidence based care a...

Supervisor, Pharmacy Operations

Cvs Health

Tennessee, United States

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 affordab...

Senior Decision Scientist - Retail Analytic Products

Cvs Health

Albany, NY

Develops, validates and executes algorithms and predictive models to investigate problems, detect patterns and recommend solutions. Explores, examines and interprets large volumes of data in various forms. Performs analyses of str...

Analyst,Clinical Services

Cvs Health

Austin, TX

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 affordab...

Care Manager - RN (Remote)

Cvs Health

Austin, TX

Minimum 3+ years clinical practical experience. Minimum 2+ years CM, discharge planning and/or home health care coordination experience. Must have active and unrestricted RN licensure in the state of Texas. Bilingual. Certified Ca...

Sr Analyst,Clinic Operations

Cvs Health

Providence, RI

2 plus years Healthcare data analytics experience. 2+ years analytics software and tools such as SAS, R, Python, Tableau, SQL, or Power BI. . 2+ years of demonstrated experience with data analytics, spreadsheets, and presentation...

Sr Analyst, Product Development - Patient Engagement and Experience

Cvs Health

Rhode Island, United States

Generate immediate, actionable patient feedback insights from all PHS productsConduct qualitative and quantitative patient feedback capture, synthesis, and insight generation across all PHS products, in four major categories:Produ...

Manager, Medicaid Risk Adjustment

Cvs Health

Connecticut, United States

Oversees a program or programs that is jointly accountable for Risk Adjustment strategy, performance, and results within a designated market(s). Responsible for identifying and recommending nuanced market Risk Adjustment strategi...

UMNC Prior Authorization

Cvs Health

Lansing, MI

No travel is required.Applicants from any state can apply.Prior Authorization UM Nurse ConsultantUtilizes clinical experience and skills in a collaborative process to assess, plan, implement, coordinate, monitor and evaluate optio...

Data Engineer ( Ab Initio , SQL , Python , ETL )

Cvs Health

Pennsylvania, United States

Develops scalable, repeatable and secure data structures and pipelines to organize, collect, standardize and integrate data that facilitate more complete, accurate and consistent data for insights and reporting. Builds efficient,...

EAP Worklife Analyst

Cvs Health

Austin, TX

The WLC assesses resource needs, proposes options and researches/screens potential community service providers to meet the assessed needs. Provides resource referrals, and educates individuals on how to use resources to handle var...

Medicare Marketing - Offline Operations Channel Manager

Cvs Health

New York, NY

Review program results and work with telesales and analytics teams to develop strategic recommendations across offline channels. Develop and implement processes, tools and initiatives that support and improve the operations of the...

Delivery Driver/RX Tech Full Time

Cvs Health

Sacramento, CA

Provide timely and accurate delivery of medication, equipment, products and/or supplies into long term care facilities or patient's homes. Load products/materials. Responsible for vehicle maintenance and alerting management for ma...

Benefits Verification Representative

Cvs Health

Phoenix, AZ

We believe that Benefit Verification Specialists are a key part of creating a positive experience for our patients.In this dynamic and fast-paced role, you will be responsible to verify insurance coverage, perform benefit investig...

Associate Manager - Duals Prior Authorization

Cvs Health

Lansing, MI

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 affordab...

Pharmacy Technician

Cvs Health

North Carolina, United States

Must be at least 16 years of age. Licensure requirements vary by state. Attention and Focuso The ability to concentrate on a task over a period of time without being distracted. Customer Service Orientationo Actively look for wa...

Care Management Associate

Cvs Health

Phoenix, AZ

Familiarity with basic medical terminology and concepts used in Care Management. Support comprehensive coordination of medical services including Care Team intake, screening and supporting the implementation of care plans to promo...

Business Innovation Software Developer (Individual Contrubutor-Mgr Level)

Cvs Health

Austin, TX

Application design. Agile Methodology. SDLC. SQL and SQL triggers. SQL Server. Python. .Net / C#. Github/Gitlab. T-SQL. SSRS. VB Script. UiPath. Alteryx. SharePoint Designer. SSIS. Oracle. APIs. Visual Studio....

Authorization Representative

Cvs Health

Sacramento, CA

This role will require an understanding of insurance carriers and concepts including drug cards, major medical benefits, and per diem coverage as well as knowledge of government and patient assistance programs. With Coram/CVS Heal...