CVS Health

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Advisor Client Audit

at CVS Health

Posted: 10/14/2019
Job Reference #: 1091431BR
Keywords: management

Job Description

Job Description
CVS Health is currently looking for a dynamic individual to join our team in an Advisor role. This is a client facing project management position that is responsible for coordinating, managing and assisting with multiple Medicare Part D audit activities as assigned. In this position you will work closely with various CMS auditors, third party contracted auditors from CPA and consulting firms, the client account team, trade, legal, regulatory affairs, Med D operations, and many other internal departments to ensure the completion of audits with minimal disruption to the business. You will be responsible for the timely and satisfactory resolution of exceptions identified during the audit process which include the use of claims adjudication research and PBM industry knowledge to ensure accurate and effective responses as well as documenting the audit and summarizing audit progress and results for the team and leadership. This position will also be expected to document and update current audit processes and identify process enhancement opportunities to reduce or eliminate risk of future audit exceptions.

Required Qualifications
- At least 5 years of experience of relevant work experience

Preferred Qualifications
- 6+ years relevant working experience in an audit or financial advisory role
- Past project management experience is desired
- Past audit experience, Medicare part D experience and PBM experience is desired
- CPA, CIA or MBA is preferred

Education
- Bachelor's degree from an accredited college or 5 years of equivalent years of education and experience

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 cvshealthsupport@us.ibm.com. 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!