Business Analytics Associate CVS Health · Remote, AZ Posted today

QuickCruit, Inc.; Arizona; Remote; USD 29,000 - 56,000; Full time

Job summary

CVS Health is seeking a Business Analytics Associate to join the Remote, AZ team. The role focuses on Non-MAC pricing compliance, data validation, and market monitoring to support pharmacy operations and DOI inquiries.

You will work with PBM processes, leverage RxClaim (AS400), and utilize Excel, Word, and Salesforce to ensure accuracy and timely responses. A fast-paced, deadline-driven environment awaits a proactive analyst.

Qualifications

• 4 years PBM experience covering non-MAC appeals, state regulations, and claims adjudication.
• Experience with RxClaim platform (AS400).
• Proficient in Excel, Word, Salesforce, and Pharmacy Porta.

Responsibilities

• Review and resolve Non-MAC pricing inquiries and ensure compliance with applicable laws.
• Validate pricing and product information using trusted sources.
• Monitor market conditions and escalate issues to leadership.
• Assist team contractors by answering questions and providing training support.
• Back up lead tester for IT system implementations and testing.
• Research and respond to regulatory inquiries (DOI) and provide timely information.

Skills

PBM experience

Deadline management

Analytical problem solving

Tools

RxClaim (AS400)

Excel

Word

Salesforce

Pharmacy Porta

Job description

Job DetailsFull-time# Business Analytics AssociateCVS Health · Remote, AZTailor My ResumeStart free. No credit card.### About the roleThe Non-MAC team is responsible for reviewing and responding to all pharmacy Non-MAC pharmacy appeals and collaborating with the Legal team to respond to any Non-MAC related complaints from state agencies.### Responsibilities* Non-MAC Pricing Compliance & Inquiry Resolution: Review and resolve pharmacy inquiries related to Non-MAC pricing, ensuring compliance with Non-MAC law requirements.* Data Validation & Source Verification: Validate pricing and product information using trusted sources such as Medispan and wholesaler information.* Market Monitoring & Issue Escalation: Identify changes in marketplace conditions and promptly escalate potential issues to leadership to minimize impact on pharmacies and plan members.* Team Support & Training: Assist the Non-MAC team contractors by answering questions and providing training support as needed.* IT Implementation Testing: Back up lead tester by monitoring and performing testing activities related to IT system implementations to ensure functionality and accuracy as needed.* Regulatory Inquiry Support: Research and respond to Department of Insurance (DOI) inquiries, providing accurate andtimely information to the DOI team to submit to state regulators.* Ad Hoc Management Support: Provide assistance to management with various ad hoc tasks and special projects as assigned.### Qualifications* 4 years Pharmacy Benefit Management (PBM) experience with all non-MAC appeal related processes, state regulations, and claims adjudication, including claims adjudication logic Experience with RxClaim platform (AS400)### Preferred* Proficient in Excel, Word, Salesforce, and Pharmacy Porta* Ability to work under tight deadlines* Strong mathematical problem-solving skills* Familiarity with wholesaler invoicesPostedTodayJob TypeFull-timeSalary$21 – $41 USD/hourLocation* Remote, AZ