CVS Health

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Clinical Analytics - Consultant

at CVS Health

Posted: 2/11/2020
Job Reference #: 1199028BR
Keywords: advisor

Job Description

Job Description
The Clinical Analyst role on the CVS Clinical Account Services team is a great opportunity for an individual with analytical interest and skills in pharmacy and the managed care environment. The individual will work with clinical data and tools to help the Clinical Advisors (Pharmacists) provide strategic clinical consultation to our client(s).
Responsibilities may Include

* Supports clinical advisors to help meet client reporting requirements
* Support clinical advisors on data needed to support Pharmacy & Therapeutics committee
* Supports clinical advisors to help communicate client formulary changes to internal partners
* Clarifies needs and suggests innovative ideas to meet client/clinical advisor requests
* Provides consultative analysis of results and suggests additional analysis, if appropriate
* Consistently performs quality checks on reports and ensures data is accurate before sharing with clinical advisor
* Proactively suggest solutions and integrates best practices across accounts
* Assists with reporting and analysis to identify utilization and support clinical mailings
* Med D specific - upload and output formularies. Export change files, add, change and remove medications. Customize member formulary documents.
* Medicaid specific--Quarterly DOH formulary change files for various Medicaid markets, assistance with state specific DUR reporting, quarterly rebate research support, ad-hoc formulary and UM file pulls and compares, and clinical program reporting.
* Suggests and creates innovative solutions for improving existing process flows
* Leverages pre-built and self-built tools to support Clinical Advisor data manipulation and interpretation needs.
* Special projects and work groups as needed to improve efficiencies and client satisfaction
* Design and develop customized qualitative and quantitative solutions to meet client needs.
* Develop and implement mechanisms to automate tasks
* Work collaboratively with CVS Health clients during on-site or virtual meetings using a client-centered approach.

Required Qualifications
* 2 years of work experience in a health plan, PBM, Pharmacy, benefits or insurance background.
* 3 years of experience in Microsoft Office suite including proficient skills utilizing Outlook, Access, Word, Excel and PowerPoint.

Preferred Qualifications
* Pharmacy experience preferred
* Pharmacy Technician certification
* Strong Communication skills
* Ability to work in a fast pace environment with shifting priorities
* Critical thinking skills
* Strategic thinking skills
* Ability to work in a team setting
* Ability to demonstrate strong problem solving skills
* Ability to work independently and effectively manage workload
* Specialization in one of the following: Medicaid, Medicare, Commercial/Exchange/Marketplace
* Project Management Experience
* Client Facing/consultation Experience
* Process flow improvement Experience
* Experience working with database environments such as MS Access
* Ability to create macro enabled Access/Excel tools
* Experience using SQL or other language to create Access solutions

High School Diploma or GED required; Bachelor's degree preferred

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.

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. We provide reasonable accommodations to qualified individuals with disabilities. If you require assistance to apply for this job, please contact our Advice and Counsel Reasonable Accommodations team. Please note that we only accept applications for employment via this site.

If technical issues are preventing you from applying to a position, contact Kenexa Helpdesk at 1-855-338-5609 or For technical issues with the Virtual Job Tryout assessment, contact the Shaker Help Desk at 1-877-987-5352.

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!