Job Title : Pharmacy Claims Auditor Job ID : 771097BR Location : AZ -
Scottsdale Street Address : 9501 E Shea Blvd Category : Finance
Description : Job Description As a Pharmacy Claims Auditor, you will
review any pharmacy claims submitted through the CVS Health claims
processing systems. You will identify and rectify claims inaccuracies
that would result in client over-payment. As a Pharmacy Claims Auditor,
you will: - Contact pharmacies for proper documentation or re-submission
of inaccurate claims information in a timely manner - Monitor assigned
clients and report status on a regular basis - Work closely with
internal and external customers to directly impact departmental success
Required Qualifications - 1+ years of professional experience,
preferably in a retail pharmacy setting Preferred Qualifications -
Knowledge of LTC and PBM industries - 2+ years of Pharmacy experience -
Knowledge of CVS Health (or other Pharmacy Benefit Management) claims
processing systems - Excellent communication skills - Ability to work
and make decisions independently with a self-starter mentality Education
- Verifiable High School Diploma or GED required. Bachelor's Degree
preferred Business Overview 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 nations 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 and EEO IS THE LAW SUPPLEMENT 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 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/