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Analyst, MED D Premium Billing
at CVS Health
As the Analyst within our Medicare D Premium Billing department Automatic Payment’s team will have responsibility and accountability over reconciling all premium payments received from the Social Security Administration/Railroad Retirement Board (SSA/RRB) ensuring payments are allocated to the correct accounts.
The Consultant will be responsible to for identifying and tracking all missing SSA/RRB payments and reporting the missing payments to the Centers for Medicaid and Medicare Services (CMS). Additionally will be responsible for monitoring MPWRD payment files to ensure processes are being performed daily/weekly/monthly to ensure no interruption in workflow, and to notify leadership of any process gaps or interruptions immediately to avoid service delays.
This role will be expected to operate with a high degree of autonomy in prioritizing requests, pursuing information from internal partners, and driving assigned tasks to completion with accuracy and attention to detail being critical.
The Consultant will interact cross-functionally with other internal/ external business partners and vendors as needed and must have a high level of understanding for all Medicare Part D processes. This position will interact heavily with technical and business resources from all enterprise systems including SAP, enrollment, and eligibility. Other support duties may include: daily or monthly financial reconciliations, reconciliation of client and vendor data, documentation, audit support, and project support. This position works directly with the business to support reporting needs, account cleanup, root cause analysis, and will support the financial Manager and Director in all required analysis, documentation, reporting, and reconciliation of the Med D issue log process.
The individual in this role must be an expert at database/spreadsheet work financial reconciliations.
The Medicare Premium Billing department performs billing and payment processing of 5.5MM lives under the SilverScript Medicare umbrella.
- 2 or more years of professional experience, preferably in analytics or a related field
- 2 or more years of experience with MS Word, Access, and Excel in a professional or academic setting
- SAP experience
- Experience in analysis of financial data including reconciliations
High school diploma/GED required. Bachelor's Degree preferred.
At CVS Health, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.
We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, sex/gender, sexual orientation, gender identity or expression, age, disability or protected veteran status or on any other basis or characteristic prohibited by applicable federal, state, or local law. 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.