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 SummaryThe Pharmacy Quality Control Analyst position is responsible for the timely and accurate delivery of key department, company, and client driven deliverables.
The primary areas of responsibility include standards conformance, audit sampling, and regulatory compliance support.
This position is accountable for and performs an integral role in the enforcement and administration of quality control compliance for pharmacy provider enrollment; pharmacy provider credentialing and contract audit sampling fulfillment; and legal-regulatory requests for pharmacy contracting information.
Duties of the Analyst require a high degree of critical independent thinking, a keen sense of judgement with the ability to make decisions efficiently.
Day to day functions require a strong focus with mental endurance and the flexibility to adapt to a fast-paced work environment with limited supervision.
The Analyst must possess the sustainability and aptitude to create new tools and reports while maintaining an in depth understanding of the PBM and enterprise pharmacy environment.
The Analyst interfaces with and manages communication with a multi-level audience.Detailed Responsibilities:
Quality Control Pharmacy Provider Network - This position is responsible for ensuring pharmacy enrollment compliance with respect to SOX internal controls, SSAE-16 (SOC1) Reporting, and URAC accreditation.
This position is accountable for the detection and prevention of pharmacy enrollment errors and omissions.
Functions of this role include validation and verification of documentation compliance and data accuracy of pharmacy enrollment to mitigate negative financial business impacts and avoid service warranties, client issued corrective action plans, and to promote successful pharmacy network enrollment audits.
Ongoing value-added activities center around continual development and enhancement of the quality review processes and tools for increased control and efficiency; SME support and analysis for ad hoc projects; interface with internal partners and lead cross functional task groups.Pharmacy Provider Credentialing & Contract Audit fulfillment - responsible for the assessment and compilation of audit sampling documentation.
This includes accountability for the accurate interpretation of the audit scope and requirements which is critical to safeguard confidential and proprietary documents, prevent inclusion of ancillary non- value- added documentation, ensure audit requirements are in compliance with company policy and avoid client issued corrective action plan.
Legal & Regulatory Requests for Information (RFI's) related to Pharmacy Credentialing & Contracting - accountable for the accurate assessment and scrutiny of the request to ensure that the correct documentation is supplied.
Accurate interpretation of the request and the ability to assess the business need are critical to avoid documentation errors or omissions for litigation, or regulatory investigations (e.g.
FBI, Federal & State OIG/OAG, DOH, MEDIC, etc.).
Required Qualifications+ 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 claims processing for Recap &, RxClaim)+ Proficient in Microsoft Office - Excel, Word, and Access.
Ability to perform detailed QC functions in a speedy, efficient, and accurate manner is critical.+ Ability to work independently and as a team, manage large workload, multiple deliverables, and projects simultaneously.Preferred QualificationsAdobeEducationAssociate or Bachelor Degree (or commiserate experience)Pay RangeThe typical pay range for this role is:
$40,600.00 - $83,400.00This 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 We anticipate the application window for this opening will close on:
06/30/2024We are an equal opportunity and affirmative action employer.
We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
Fusion Medical Staffing Nursing
United States - AZ - AZ - Lake Havasu City
July 4, 2024
Fusion Medical Staffing-Nursing is seeking a travel nurse RN Telemetry for a travel nursing job in Lake Havasu City, Arizona. & Requirements • Specialty: Telemetry • Discipline: RN • Start Date: ASAP • Duration: 13 weeks • 36 hours per week • Shift: 12 hours, days • Employment Type: Travel Facility...
United States - AZ - AZ - Camp Verde
July 2, 2024
About the facility A facility is seeking a gastroenterologist for locum tenens coverage. About the facility location Don't let the heat get to you while on assignment in Phoenix, Arizona and head to one of the way water resort pools and parks available in the city for all ages. On your time off make...
United States - AZ - AZ - Fort Defiance
July 1, 2024
TravelNurseSource is working with Host Healthcare to find a qualified Other RN in Fort Defiance, Arizona, 86504! • Pay Information • $2,184 to $2,363 per week • About The Position • Host Healthcare is an award-winning travel healthcare company with an immediate opening for this Registered Nurse -...
United States - AZ - AZ - Kingman
July 4, 2024
Bestica is seeking a travel CT Technologist for a travel job in Kingman, Arizona. & Requirements • Specialty: CT Technologist • Discipline: Allied Health Professional • Start Date: 07/21/2024 • Duration: 13 weeks • 36 hours per week • Shift: 12 hours, days, nights • Employment Type: Travel • Perks:...
United States - AZ - AZ - Tucson
July 4, 2024
PHP is seeking a travel First Assist Technician for a travel job in Tucson, Arizona. & Requirements • Specialty: First Assist Technician • Discipline: Allied Health Professional • Start Date: ASAP • Duration: 13 weeks • 40 hours per week • Shift: 8 hours, days • Employment Type: Travel PHP Job ID...
United States - AZ - AZ - Chandler
July 2, 2024
TravelNurseSource is working with Host Healthcare to find a qualified Other RN in Chandler, Arizona, 85224! • Pay Information • $1,988 to $2,141 per week • About The Position • Host Healthcare is an award-winning travel healthcare company with an immediate opening for this Registered Nurse - ICU in...
United States - AZ - AZ - Phoenix
June 19, 2024
TravelNurseSource is working with Host Healthcare to find a qualified Long-Term Care RN in Phoenix, Arizona, 85013! • Pay Information • $1,590 to $1,739 per week • About The Position • Host Healthcare is an award-winning travel healthcare company with an immediate opening for this Registered Nurse -...
United States - AZ - AZ - TUCSON
June 13, 2024
Full Time position , working Night shift in the CVICU at Northwest Medical Center in Tucson, AZ $15,000 Sign-on bonus offered to eligible experienced RN's! What you'll do: Cardiac and Vascular Intensive Unit RN participates in increased levels of care in a dynamic setting that provides quality care...
United States - AZ - AZ - Chandler
July 4, 2024
Cure Healthcare Staffing is seeking a travel CT Technologist for a travel job in Chandler, Arizona. & Requirements • Specialty: CT Technologist • Discipline: Allied Health Professional • Start Date: 07/15/2024 • Duration: 13 weeks • 40 hours per week • Shift: 8 hours, days • Employment Type: Travel...
United States - AZ - AZ - Chandler
July 4, 2024
Lead Health is seeking a travel CT Technologist for a travel job in Chandler, Arizona. & Requirements • Specialty: CT Technologist • Discipline: Allied Health Professional • Start Date: 07/15/2024 • Duration: 13 weeks • 36 hours per week • Shift: 12 hours, days • Employment Type: Travel We need a CT...
United States - AZ - AZ - Gilbert
May 16, 2024
TravelNurseSource is working with Host Healthcare to find a qualified PCU RN in Gilbert, Arizona, 85234! • Pay Information • $2,190 to $2,369 per week • About The Position • Host Healthcare is an award-winning travel healthcare company with an immediate opening for this Registered Nurse - PCU in...
United States - AZ - AZ - Lake Havasu City
July 4, 2024
Aequor Healthcare is seeking a travel nurse RN Telemetry for a travel nursing job in Lake Havasu City, Arizona. & Requirements • Specialty: Telemetry • Discipline: RN • Start Date: 07/29/2024 • Duration: 13 weeks • 36 hours per week • Shift: 12 hours • Employment Type: Travel *All positions require...
United States - AZ - AZ - Prescott
June 18, 2024
TravelNurseSource is working with Atlas MedStaff to find a qualified Med/Surg RN in Prescott, Arizona, 86301! • Pay Information • $2,040 per week • About The Position • Atlas Medstaff is currently seeking candidates in the RN (Med/Surg) profession for a 13 week contract in the Prescott, Arizona...
United States - AZ - AZ - Chandler
July 4, 2024
Next Move Inc is seeking a travel CT Technologist for a travel job in Chandler, Arizona. & Requirements • Specialty: CT Technologist • Discipline: Allied Health Professional • Start Date: 08/05/2024 • Duration: 13 weeks • 40 hours per week • Shift: 8 hours, days • Employment Type: Travel Next Move...
United States - AZ - AZ - Chandler
July 4, 2024
Ardor Health Solutions is seeking a travel CT Technologist for a travel job in Chandler, Arizona. & Requirements • Specialty: CT Technologist • Discipline: Allied Health Professional • Start Date: 07/15/2024 • Duration: 13 weeks • 36 hours per week • Shift: 8 hours, days • Employment Type: Travel •...
United States - AZ - AZ - Chandler
July 4, 2024
Springboard Healthcare is seeking a travel CT Technologist for a travel job in Chandler, Arizona. & Requirements • Specialty: CT Technologist • Discipline: Allied Health Professional • Start Date: 07/15/2024 • Duration: 13 weeks • 36 hours per week • Shift: 12 hours • Employment Type: Travel At...
United States - AZ - AZ - Chandler
July 4, 2024
Aequor Allied is seeking a travel CT Technologist for a travel job in Chandler, Arizona. & Requirements • Specialty: CT Technologist • Discipline: Allied Health Professional • Start Date: 07/15/2024 • Duration: 13 weeks • 40 hours per week • Shift: 8 hours • Employment Type: Travel Therapy Staff Job...
United States - AZ - AZ - Phoenix
July 3, 2024
Interested in this assignment? Or maybe you still haven't found what you're looking for? Contact one of our specialty-specific recruiters to get access to our vast network of open jobs - including some jobs that never get posted. CompHealth will handle all the details like housing and credentialing...
United States - AZ - AZ - Kingman
July 4, 2024
Bestica is seeking a travel nurse RN OB/GYN for a travel nursing job in Kingman, Arizona. & Requirements • Specialty: OB/GYN • Discipline: RN • Start Date: 07/22/2024 • Duration: 13 weeks • 36 hours per week • Shift: 12 hours, flexible • Employment Type: Travel • Perks: 3-4 weekends in a 6 week...
United States - AZ - AZ - Chandler
July 4, 2024
CrossMed Allied is seeking a travel CT Technologist for a travel job in Chandler, Arizona. & Requirements • Specialty: CT Technologist • Discipline: Allied Health Professional • Start Date: 07/15/2024 • Duration: 13 weeks • 36 hours per week • Shift: 12 hours • Employment Type: Travel Job Details •...
United States - AZ - AZ - Yuma
July 5, 2024
LRS Healthcare - Lab is seeking a travel Pharmacist for a travel job in Yuma, Arizona. & Requirements • Specialty: Pharmacist • Discipline: Allied Health Professional • Start Date: ASAP • Duration: 13 weeks • 40 hours per week • Shift: 12 hours, days, evenings, flexible • Employment Type: Travel •...
United States - AZ - AZ - Chandler
July 4, 2024
Anders Group is seeking a travel CT Technologist for a travel job in Chandler, Arizona. & Requirements • Specialty: CT Technologist • Discipline: Allied Health Professional • Start Date: 07/15/2024 • Duration: 13 weeks • 40 hours per week • Shift: 8 hours, days • Employment Type: Travel Anders Group...
United States - AZ - AZ - Lake Havasu City
July 4, 2024
OneStaff Medical is seeking a travel nurse RN Telemetry for a travel nursing job in Lake Havasu City, Arizona. & Requirements • Specialty: Telemetry • Discipline: RN • Start Date: 07/29/2024 • Duration: 13 weeks • 36 hours per week • Shift: 12 hours, days • Employment Type: Travel A Telemetry Nurse...
United States - AZ - AZ - Chandler
July 4, 2024
IDR Healthcare is seeking a travel CT Technologist for a travel job in Chandler, Arizona. & Requirements • Specialty: CT Technologist • Discipline: Allied Health Professional • Start Date: 07/15/2024 • Duration: 13 weeks • 36 hours per week • Shift: 12 hours, days • Employment Type: Travel IDR...
United States - AZ - AZ - Tucson
July 2, 2024
TravelNurseSource is working with Host Healthcare to find a qualified Telemetry RN in Tucson, Arizona, 85741! • Pay Information • $1,455 to $1,604 per week • About The Position • Host Healthcare is an award-winning travel healthcare company with an immediate opening for this Registered Nurse -...
United States - AZ - AZ - Phoenix
July 5, 2024
Position Details: • Average Delivery Driver pay is $80k+ per year • 4-5 day work week Sunday thru Saturday, days will vary - must be flexible. Possible layovers on certain routes • Quarterly Safety bonus opportunities We Deliver the Goods: • Competitive pay and benefits, including Day 1 Health &...
United States - AZ - AZ - Chandler
July 4, 2024
Focus Staff is seeking a travel CT Technologist for a travel job in Chandler, Arizona. & Requirements • Specialty: CT Technologist • Discipline: Allied Health Professional • Start Date: 07/15/2024 • Duration: 13 weeks • 40 hours per week • Shift: 8 hours, days • Employment Type: Travel Focus Staff...