CVS Health Looking for Pbm Finance Systems Improvement Senior Analyst at Woonsocket, RI, United States Full Time

Job Description

CVS Health has an exciting opportunity to join our PBM Finance Enablement team as a Senior Analyst, PBM Finance Systems Improvement (non-Rebate). The Systems Improvement team within PBM Finance manages a variety of cross-functional strategic and operational initiatives including, but not limited to, the ongoing enhancements of non-Rebate finance systems, cross-functional, regulatory, compliance-related system enhancements, and new product implementations. You will be supporting CVS Health’s continuous innovation around how we deliver outstanding customer service and improved operational efficiency. You should have a technical background and experience in SDLC & Agile/Scrum methodologies, ability to independently execute business process validation, and possess strong analytical problem-solving skills to support medium-to-complex cross-functional initiatives.
You will be responsible for:

• Defining project Scope, User Stories and Acceptance Criteria in coordination with all business partners, stakeholders, and IT project management teams.
• Leading User Story reviews, execute User Acceptance Testing, and maintain excellent documentation of all work.
• Work with non-Rebate Finance business partners to define and manage project scope, objectives, test plans and acceptance criteria.
• Work closely with Finance IT Development and QA teams to promote successful outcomes.
• Achieve utmost clarity with the definition of User Stories in Rally that wholly represent the business team’s objectives.
• Function in an Agile, sprint-based project environment.
• Develop and manage communication plan with functional areas regarding active projects including pre-and post-deployment activities.

Pay Range
The typical pay range for this role is:
Minimum: 43,700
Maximum: 97,400

Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will take into account a wide range of factors, including location.

Required Qualifications

• 3+ years of Pharmacy Benefit Manager (PBM) or Healthcare industry experience
• 1+ years of experience with requirements gathering, including but not limited to SDLC & Agile/Scrum methodologies, business process validation and User-Acceptance Testing
• 1+ years of experience to creating and interpreting process documentation including, but not limited to screen mock-ups and system workflows

COVID Requirements

COVID-19 Vaccination Requirement
CVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated.

You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.

Preferred Qualifications

• Experience with highly complex, inter-connected systems and business processes
• Technical writing skills
• Experience working with Batch Files
• Experience working with cloud-based systems
• AS400 experience
• Experience or strong ability to work with SQL, job submission, database libraries
• Knowledge of pharmacy claims, claim adjudication and data file transmission
• Working knowledge of NCPDP Telecommunication and Post Adjudicated Standards
• Experience in highly regulated industry and compliance environment
• Process Improvement experience
• Above average Microsoft Office skills

Education
Bachelor’s degree or equivalent experience required

Business Overview
Bring your heart to CVS Health
Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.

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.

We strive to promote and sustain a culture of diversity, inclusion and belonging every day.

CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.