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Business Configuration Coordinator

at CVS Health

Posted: 2/11/2019
Job Reference #: 918966BR

Job Description

Job Title :
Business Configuration Coordinator
Job ID :
Location :
CO - Centennial
Street Address :
12600 East Arapohoe Road Suite A
Category :
Business Analyst
Description :
Job Description
The Pharmacy Management Consultant supports implementation, maintenance, and distribution of prior authorization system within CVS Health’s medical claims engine (Novologix). The position is responsible for the operational development and performance of prior authorization criteria to include configuration data, claims, clinical protocols, and medical notification documents. The position works closely with other business teams to manage scheduled and ad hoc projects for new implementation and maintenance of existing clients. There are cross-functional responsibilities to support other departments within CVS Health as required.

Additional responsibilities of the Pharmacy Management Consultant include:
1. Analyze, build, update and test clinical criteria, medical notification documents, and/or claims reviews to the specifications of individual client requirements.
2. Communicate with and support internal and external clients through development, implementation, and maintenance of Novologix system enhancements and projects.
3. Adhere to IT processes, requirements, and conventions to clearly communicate project deployment requirements and work with product team on new system functionality implementation.
4. Investigate and troubleshoot Novologix system incidents and assist clients in their resolution as related to prior authorization criteria and configuration set up.
5. Assist other business support departments with claims review, fee schedule builds, and client maintenance as needed.

Required Qualifications
* 3+ years demonstrated ability to work independently and manage multiple projects and prioritize and delegate deliverables in a timely fashion
* BA/BS in mathematics, statistics, health care management, business, economics, finance or related field OR equivalent years of experience required
* Strong verbal and written communication skills
* Ability to think critically, problem solve and make decisions while anticipating the broad impact of decisions
* 3+ years of MS Office experience

Preferred Qualifications
* 3+ years working within an IT or Healthcare environment preferred
* Change agile; willing and able to adjust individual and team direction based upon changing priorities and business need
* Familiar with state and federal pharmaceutical regulations preferred

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 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 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 Advice and Counsel

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:

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!