Manager, Finance Operations

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.Position Summary
This position is responsible for reviewing claims and PDE (Prescription Drug Event) errors. This includes analyzing and distributing the PDE Rejections reports and analysis to internal and external clients. The position will serve as liaison between the PDE Reporting Team, PDE Eligibility/Reconciliation and all entities involved directly or indirectly with PDE to ensure timely and accurate resolution of PDE Rejections. Download and review the Acumen Outliers. Coordinate the research with various departments and submit the responses to external clients or Acumen according to CMS deadlines. Assist with the weekly PDE meetings. Ensure continuous improvement of Medicare claims data through root cause and impact analysis of errors, recommendations for systems and procedure enhancements. The position will rely upon business knowledge, including industry concepts and practices, technical skills, and prior experience to plan and accomplish goals. Candidate should have working knowledge of Part D plans and be able to study and correctly interpret CMS Guidance. This position is also responsible for review of guidance and being compliant with CMS.

Required Qualifications

• 5+ years' experience as a Claims Analyst, Data Analyst, Internal Auditor, and/or Business Analyst.
• 1+ years of experience with Medicare Part D.

• Bachelor's degree or equivalent work experience required

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.