CVS Health
Northbrook, Illinois, United States
Formulary Management Consultant - Medicare Part D
Posted over 1 month ago
Job Description
Job Description
CVS Health is Fortune 5 Company and we are looking for individuals to make an impact! We are currently seeking a Formulary Management Consultant - Medicare Part D. The Consultant performs a critical role in the management of the Medicare Part D formulary. Key functions include Health Plan Management System (HPMS) formulary file management, performing client-specific reporting, utilizing formulary analysis tools, monitoring adjudication changes, and providing other formulary related support for Medicare Part D formularies. The individual will work closely with the clinical team in the development and maintenance of both standard and modified Med D formularies. Position will adhere to strict Centers for Medicare and Medicaid Services (CMS) deadlines and quality measures.
In order to be a successful candidates you must be able to build/maintain formularies and drug lists in formulary management system, create formulary submission files to Medicare, perform advanced formulary analysis and reporting, provide expertise in formulary management system and prescription drug data and utilize the entire MS suite.
We offer a comprehensive benefits package which includes medical, dental, vision insurance as well as a wide-ranging list of supplemental benefits and discount programs.? In addition to sixteen paid days off for employees, we also offer ten paid holidays.
Required Qualifications
- 2+ years of experience within Formulary Management, Pharmacy Benefit Management (PBM) or Medicare Part D.
- 1+ years of Data/ Analytics experience using Excel.
Preferred Qualifications
- Certified Pharmacy Technician.
- Associate's or Bachelor's degree.
- Experience with RxClaim.
Education
- Verifiable high school diploma or GED.
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.
CVS Health is Fortune 5 Company and we are looking for individuals to make an impact! We are currently seeking a Formulary Management Consultant - Medicare Part D. The Consultant performs a critical role in the management of the Medicare Part D formulary. Key functions include Health Plan Management System (HPMS) formulary file management, performing client-specific reporting, utilizing formulary analysis tools, monitoring adjudication changes, and providing other formulary related support for Medicare Part D formularies. The individual will work closely with the clinical team in the development and maintenance of both standard and modified Med D formularies. Position will adhere to strict Centers for Medicare and Medicaid Services (CMS) deadlines and quality measures.
In order to be a successful candidates you must be able to build/maintain formularies and drug lists in formulary management system, create formulary submission files to Medicare, perform advanced formulary analysis and reporting, provide expertise in formulary management system and prescription drug data and utilize the entire MS suite.
We offer a comprehensive benefits package which includes medical, dental, vision insurance as well as a wide-ranging list of supplemental benefits and discount programs.? In addition to sixteen paid days off for employees, we also offer ten paid holidays.
Required Qualifications
- 2+ years of experience within Formulary Management, Pharmacy Benefit Management (PBM) or Medicare Part D.
- 1+ years of Data/ Analytics experience using Excel.
Preferred Qualifications
- Certified Pharmacy Technician.
- Associate's or Bachelor's degree.
- Experience with RxClaim.
Education
- Verifiable high school diploma or GED.
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.
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