CVS Health

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Client Relations and Finance Manager - Pharmacy Audit

at CVS Health

Posted: 3/16/2020
Job Reference #: 1232549BR
Keywords: billing, financial

Job Description

Job Description
Join our Pharmacy Audit group as the Finance and Client Relations Manager, where you will lead a team that supports various groups within the company including pharmacy performance, finance, and account management. The team is responsible for managing, reporting and forecasting financials for all audit programs, performance guarantees, as well as client contract compliance.

As the Manager, you will oversee processes to track, monitor and report Caremark’s audit activities and recovery financials to our plan sponsors and senior leaders. The role requires working with a variety of other areas to develop, maintain, and implement new processes.

You will be responsible for reviewing financial sections of executed Contracts and create custom billing and reporting processes as needed. In this role you will also be responsible to consult with other areas in the department and act as a subject matter expert in areas related to Pharmacy Audit, audit financial processes, client contracts, performance guarantees, and others. Finally, you will be responsible for responding to all client inquiries.

You will be successful in this role with the following experience:

- A financial and/ or audit background with ability to review and analyze complex financials.

- In-depth knowledge of pharmacy audit and State Pharmacy Audit Laws

- Highly proficient in working with large data sets.

- An ability to understand operational SOX control and comprehend client preferences to enhance customer experience

- Ability to work in a very fast-paced, dynamic environment with tight deadlines.

- Experience in setting up new processes and executing against them.

- Ability to communicate complex processes in an easy to understand way. Ability to collaborate with and influence clients and customers.

- Experience extracting, manipulating, and analyzing data to draw conclusions or troubleshoot issues.

- Ability to appropriately prioritize opposing client requests to ensure focus on the highest impact activities.

Join the company helping people on their path to better health! Our organization offers a competitive benefit package including vacation and holiday paid time off, health/dental/vision insurance, work/life balance, employee discounted stock purchase program, 401K, tuition reimbursement, and employee discounts at all CVS stores.

Required Qualifications
- 3 years PBM experience required.
- 5 years experience in either pharmacy, audit, or finance
- Client-facing experience required.

Preferred Qualifications
- Finance background strongly preferred

- Experience and/or knowledge of PBM claims adjudication

- Previous experience in a contract based environment preferred

- Exemplary MS office skills including Excel, Word, PowerPoint, SharePoint, Outlook, and Access

- Experience in SalesForce, SAP, OnDemand, VBA, AS400 and SQL

- Management experience preferred

- Bachelor's Degree required or equivalent work experience may be considered.

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!