CVS Health Pharmacy Audit and Client Relations Manager in Scottsdale, Arizona
The Pharmacy Audit and Client Relations Manager leads a team that supports various groups within the company including pharmacy performance, finance, and account management. The team is responsible for managing, reporting and forecasting financials for all audit programs, performance guarantees, as well as client contract compliance.
As the Manager, you will oversee processes to track, monitor and report Caremark’s audit activities and recovery financials to our plan sponsors and senior leaders. The role requires working with a variety of other areas to develop, maintain, and implement new processes.
You will be responsible for reviewing financial sections of executed Contracts and create custom billing and reporting processes as needed. In this role you will also be responsible to consult with other areas in the department and act as a subject matter expert in areas related to Pharmacy Audit, audit financial processes, client contracts, performance guarantees, and others. Finally, you will be responsible for responding to all client inquiries.
You will be successful in this role with the following experience:
A financial and/ or audit background.
Review and analyze complex financials.
Highly proficient in working with large data sets.
Ability to work in a very fast-paced environment with tight deadlines.
Experience in setting up new processes and executing against them.
Ability to communicate complex processes in an easy to understand way. Ability to collaborate with and influence clients and customers.
Experience extracting, manipulating, and analyzing data to draw conclusions or troubleshoot issues.
Ability to appropriately prioritize opposing client requests to ensure focus on the highest impact activities.
Ability to work independently in a rapidly changing environment and manage tight deadlines.
5+ years of relevant work experience
Finance experience strongly preferred
Knowledge of PBM claims adjudication
Previous experience in a contract based environment
An ability to understand operational SOX control and comprehend client preferences to enhance customer experience
Exemplary MS office skills including Excel, Word, PowerPoint, SharePoint, Outlook, and Access
Experience in SalesForce, SAP, OnDemand, VBA, AS400 and SQL
In-depth knowledge of pharmacy audit and State Pharmacy Audit Laws
2+ years of management experience preferred
Active CPhT or willingness to obtain within 12 months
Bachelor's Degree or equivalent work experience
CVS Health, through our unmatched breadth of service offerings, is transforming the delivery of health care services in the U.S. We are an innovative, fast-growing company guided by values that focus on teamwork, integrity and respect for our colleagues and customers. What are we looking for in our colleagues? We seek fresh ideas, new perspectives, a diversity of experiences, and a dedication to service that will help us better meet the needs of the many people and businesses that rely on us each day. As the nation’s largest pharmacy health care provider, we offer a wide range of exciting and fulfilling career opportunities across our three business units – MinuteClinic, pharmacy benefit management (PBM) and retail pharmacy. Our energetic and service-oriented colleagues work hard every day to make a positive difference in the lives of our customers.
CVS Health is an equal opportunity employer. We do not discriminate in hiring or employment against any individual on the basis of race, ethnicity, ancestry, color, religion, sex/gender (including pregnancy), national origin, sexual orientation, gender identity or expression, physical or mental disability, medical condition, age, veteran status, military status, marital status, genetic information, citizenship status, unemployment status, political affiliation, or on any other basis or characteristic prohibited by applicable federal, state or local law. CVS Health will consider qualified job candidates with criminal histories in a manner consistent with federal, state and local laws. CVS Health will not discharge or in any other manner discriminate against any Colleague or applicant for employment because such Colleague or applicant has inquired about, discussed, or disclosed the compensation of the Colleague or applicant or another Colleague or applicant. Furthermore, we comply with the laws and regulations set forth in the following EEO is the Law Poster: EEO IS THE LAW at https://www.dol.gov/ofccp/regs/compliance/posters/pdf/eeopost.pdf and EEO IS THE LAW SUPPLEMENT at https://www.dol.gov/ofccp/regs/compliance/posters/ofccpost.htm
Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. If you require assistance to apply for this job, please contact us by clicking EEO AA CVS Health at mailto:EEO_AA@CVSHealth.com
CVS Health does not require nor expect that applicants disclose their compensation history during the application, interview, and hiring process.
For inquiries related to the application process or technical issues please contact the Kenexa Helpdesk at 1-855-338-5609. For technical issues with the Virtual Job Tryout assessment, contact the Shaker Help Desk at 1-877-987-5352. Please note that we only accept resumes via our corporate website: https://jobs.cvshealth.com/