Senior Analyst - Clinical Fraud Waste and Abuse

October 15

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Logo of CVS Health

CVS Health

Retail β€’ Pharmacy Benefits Management β€’ Health Insurance β€’ Health Care β€’ Pharmacy

10,000+

Description

β€’ Provide support and accountability to the Pharmacy Audit organization. β€’ Ensure completion of FWA program deliverables. β€’ Conduct quarterly data analysis to identify outliers. β€’ Investigate and resolve identified issues. β€’ Collaborate with various departments and clients.

Requirements

β€’ 3 years PBM experience. β€’ 1 year Healthcare FWA experience. β€’ Ability to prioritize and manage multiple demands. β€’ Excellent verbal and written communication skills. β€’ Comfort level working with internal and external customers. β€’ Analytical abilities. β€’ Ability to work independently or as part of a team. β€’ Professional attitude. β€’ Desired PC Office software, including MS Access, Excel, Word. β€’ Medical vocabulary and drug knowledge. β€’ PTCB certified. β€’ Healthcare fraud certification.

Benefits

β€’ Full range of medical, dental, and vision benefits. β€’ Eligible for 401(k) retirement savings plan. β€’ Employee Stock Purchase Plan available. β€’ Fully-paid term life insurance plan. β€’ Short-term and long-term disability benefits. β€’ Well-being programs, education assistance, free development courses. β€’ CVS store discount and partner discount programs. β€’ Paid Time Off (PTO) or vacation pay, paid holidays.

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