Remote PBM Analytics Associate (Non-MAC & Pricing)

QuickCruit, Inc.; Arizona; À distance; USD 29 000 - 56 000; Plein temps

Résumé du poste

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.

Responsabilités

• 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.

Connaissances

PBM experience

Deadline management

Analytical problem solving

Outils

RxClaim (AS400)

Excel

Word

Salesforce

Pharmacy Porta

Description du poste

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.