CVS Health

Network Consultant

Posted 1 day ago

Job Description

Job Description
CVS Health, a fortune 500 company has an exciting new FULLY REMOTE opportunity!

As a CVS Health colleague, youll 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.

The Network Consultant position provides quality service and support to ensure the successful implementation and ongoing maintenance of the Prescriber "Closed" Network capabilities within the RxClaim application. There is frequent interaction with internal departments and external clients with a strong focus on communicating requirements and completing the necessary setup configuration to support the needs of our clients. This role performs analysis and quality checks on client provided data and ensure all necessary setups are completed based on defined timelines and in preparation of "Go-Live" for the "Closed" Networks. Complete multiple assignments under minimal supervision and provide necessary project status updates to Leadership as appropriate or upon request. May include maintaining prescriber data in the PDM (Prescriber Database Management) system, reviewing and updating Federal and State prescriber exclusions.

The preferred candidate will have the ability to coordinate and track incoming work requests from multiple sources and meet deadlines based on client needs. Excellent communication skills and quality record is necessary and must be able to work independently and take personal accountability. The ability to identify and communicate opportunities to improve process and promote efficiency is also highly preferred.

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
-RxClaim experience related to client benefits and eligibility process (i.e. closed prescriber network, P&Ps, Fastlink automation
- Ability to Upload / Download text (flat) files. Understanding of AS400 iSeries menus, file capabilities
- Must be able to read flat fixed excel files/tables and spot check "key" fields for accuracy (e.g. prescriber NPI, name etc)
- Proficient in MS Access or Advanced Excel capabilities to provide additional file analysis and testing

Preferred Qualifications
Previous experience communication with clients.

Bachelor's Degree in related field or equivalent experience

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.