Health Care Data Analyst
Posted on: 29 Jan 2021
Northbrook, IL
Job Description
Job Description
CVS/Caremark, the Pharmacy Benefit Management (PBM) division of CVS Health, is looking for an Enrollment Analyst to join our Eligibility Administration Department. As an Enrollment Analyst for a Fortune 10 organization, you will impact and support customers in all areas including Commercial, Medicare, Healthcare Plans & Group Waiver Plans (EGWP).
Primary responsibilities of the Enrollment Analyst include:
- Acting as a healthcare data subject matter expert on Eligibility guidelines and Electronic Data Interchange (EDI) protocol for clients
- Researching and consulting to improve healthcare data integrity and ensure excellent service delivery
- Constantly improving healthcare analytical skills that are needed to perform data analysis
- Resolving data enrollment issues on a daily basis
- Consulting on healthcare data needs
- Having exceptional time management and healthcare client management skills
- Continuous development training will be provided in this role to ensure the Enrollment Consultant is able to exceed client expectations in this fast-paced environment
Required Qualifications
1+ years in healthcare data eligibility, insurance, IT, benefits or data analytics environment with a strong ability to work independently, problem solve, and analyze data in a confidential healthcare environment
Preferred Qualifications
- Experience in eligibility or other relevant background
- Experience in a customer service or client-facing position
- Experience in EDI (Electronic Data Interchange)
- Understanding of the PBM industry
- Experience in a healthcare client facing role
- Experience in a fast paced environment
- Knowledge of ANSI X12 834 Data Documents
- Familiarity with RxClaim and/or AS400
Education
- High School Diploma or GED required
- Bachelor's Degree preferred
Business Overview
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.
CVS Health
Woonsocket, RI
CVS Health Corporation provides health services and plans in the United States. Its Pharmacy Services segment offers pharmacy benefit management solutions, such as plan design and administration, formulary management, retail pharmacy network management, mail order pharmacy, specialty pharmacy and infusion, Medicare Part D, clinical, disease management, and medical spend management services. The company’s Retail/LTC segment sells prescription drugs and general merchandise, such as over-the-counter drugs, beauty products, cosmetics, and personal care products, as well as provides health care services through its MinuteClinic walk-in medical clinics.
Its Health Care Benefits segment offers traditional, voluntary, and consumer-directed health insurance products and related services, including medical, pharmacy, dental, behavioral health, medical management, Medicare plans, PDPs, Medicaid health care management services, workers’ compensation administrative services, and health information technology products and services. The company’s customers include employers, insurance companies, unions, government employee groups, health plans, Medicare Part D prescription drug plans, Medicaid managed care plans, plans offered on public health insurance exchanges and private health insurance exchanges, other sponsors of health benefit plans, individuals, college students, workers, labor groups, and expatriates.
As of December 31, 2018, it had approximately 40 leased on-site pharmacies, 25 leased retail specialty pharmacy stores, 20 specialty mail order pharmacies, and 90 branches for infusion and enteral services; and 9,900 retail locations and 1,100 MinuteClinic locations, as well as operated an online retail pharmacy Websites, LTC pharmacies, and onsite pharmacies. The company was formerly known as CVS Caremark Corporation and changed its name to CVS Health Corporation in September 2014. CVS Health Corporation was founded in 1963 and is headquartered in Woonsocket, Rhode Island.
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IndustryHealthcare
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No. of Employees295, 000
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Website
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Jobs Posted4287
