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Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.

A Brief Overview

Designs enterprise-wide and/or cross-functional solutions to address business problems. This work results in initiatives that significantly impact organizational strategy, enabling the organization to be competitive in the marketplace and effectively serve its customers. Partners with business owners to optimize the achievement of strategic business objectives, to include profitable growth and improved organizational effectiveness.

What you will do

• Assists in managing the day-to-day complex business consultation services to support the organization's goals and objectives.
• Implements processes and assignments for research, collecting, analyzing, and compiling data and information for the business consulting department reports.
• Assesses files, reports, and financial records, and manages department record retention.
• Directs individuals to develop a high degree of customer service by fielding internal and external inquiries, finding resolutions, or redirecting as appropriate.
• Confers internally and externally with clients and senior management regarding the organization's goals and objectives.
• Coaches the internal and external department point of contact ensuring concise communication with employees, stakeholders, and members of the senior management.
• Delivers advice to the organization regarding current business trends and best practices by preparing analyses for senior management, stakeholders, and clients.
• Implements processes to performance appraisals within the business consulting department ensuring compliance and continuous improvement.
• Helps establish and implement strategic review processes ensuring continuous improvement, compliance, and highperformance standards are upheld.

For this role you will need Minimum Requirements

• 5-7 years work experience
• Adept at problem solving and decision making skills
• Adept at collaboration and teamwork
• Adept at growth mindset (agility and developing yourself and others) skills
• Adept at execution and delivery (planning, delivering, and supporting) skills  

Education

Bachelor's degree preferred/specialized training/relevant professional qualification.

Requisition Job Description

Position Summary

This is a Scrum Team role that will be a member of the Medicare / Medicaid Transformers team tasked with developing purpose built capabilities for our NextGen platform to support the integration with other applications in the Nextgen platform.

This role is responsible for delivering data analysis, and data configuration Stories within an Agile framework.

• Serves as a member of the team to deliver purpose built configuration for the Medicare and IFP pharmacy business team.

Generation Platform.

• Independently leads the configuration of various business requirements to support the

Next Generation Platform Program for the Medicare organization, including products for Medicare Advantage (MA), Medicare Advantage with Prescription Drug Coverage (MAPD) and stand-alone Prescription Drug Plans (PDP) and potentially Medicaid.

• Able to write SQL / PLSQL at an intermediate to advanced level
• Independently completes data analysis for member data to identify and resolve data issues.

With limited direction, translates business requirements into user case stories.

• Performs ongoing system maintenance, research, problem resolution and on-call support, according to defined plans or documentation for existing systems.
• Is fully familiar with the prescribed methodology and is in strict compliance with all required artifacts. • Independently completes Unit Testing

Required Qualifications

• Experience PLSQL / Oracle databases; Intermediate (2-4 years)

Preferred Qualifications

• Familiarity with IBM ACE and BAW
• Education Experience with Market Prominence, MHK's (formerly MedHOK) Enrollment, Billing and Correspondence platform
• Medical Management / Medical Management - Government Administration (2-4 years)
• Leadership / Creating Accountability (Intermediate)
• Leadership / Driving a Culture of Compliance (Foundational)
• Leadership / Anticipating and Innovating (Intermediate)
• Technology / Justifying the Business Case (Intermediate)
• Experience with enterprise-wide and / or cross-functional large scale initiatives with high degree of complexity.
• Demonstrated experience successfully implementing change in complex organizations
• Demonstrated relationship management skills at the senior level; capacity to quickly build and maintain credible relationships at varying levels of the organization simultaneously.

Pay Range

The typical pay range for this role is:

$66,330.00 - $145,860.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.  The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.  This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. 
 
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities.  The Company offers a full range of medical, dental, and vision benefits.  Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees.  The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners.  As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.  
 
For more detailed information on available benefits, please visit Benefits | CVS Health

We anticipate the application window for this opening will close on: 10/06/2024

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.