[Remote] Senior Analyst, Project Management at CVS Health

Arizona, Texas, United States

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Not SpecifiedCompensation

Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

HealthcareIndustries

Requirements

1 year minimum of claims processing experience
Experience with system testing and post go-live validation
QNXT Experience
Familiarity with clinical and code editing concepts and products (Example: ClaimsXten, Cotiviti PPM & CV)
Extensive knowledge of CPT, HCPCS, ICD-10 coding

Responsibilities

Implements a comprehensive configuration management plan that outlines the strategy, policies, procedures, and guidelines for managing the organization's hardware, software, and documentation
Analyzes complex configuration data to provide insights into configuration management metrics, trends, and compliance issues
Applies in-depth knowledge of configuration management tools and systems to support organizational operations. Codes and/or writes custom configurations or extensions to tailor technology functions to the specific needs of the organization
Communicates with project managers, developers, and system administrators to align configuration management practices with project needs and organizational goals
Completes assessments to determine risks associated with configuration management, such as unauthorized changes, data integrity issues, and/or configuration drift
Conducts routine audits that guide the development of corrective actions and drive continuous improvement in configuration management practices
Communicates regularly with the release management team to ensure that new software releases and updates are properly configured and documented before deployment
Ensures that configuration management practices align with relevant industry standards, regulations, and security requirements

Skills

Key technologies and capabilities for this role

Configuration ManagementClaims ProcessingData AnalysisRisk AssessmentAuditingRelease ManagementCustom CodingProject Management

Questions & Answers

Common questions about this position

What is the pay range for the Senior Analyst, Project Management role?

The typical pay range for this role is $46,988.00 - $122,400.00, representing the base hourly rate or base annual full-time salary. The actual base salary offer will depend on factors including experience, education, geography, and other relevant factors.

Is this a full-time remote position or does it require office work?

This information is not specified in the job description.

What skills and experience are required for this position?

Required qualifications include 1 year minimum of claims processing experience, experience with system testing and post go-live validation, QNXT experience, familiarity with clinical and code editing concepts and products (e.g., ClaimsXten, Cotiviti PPM & CV), and extensive knowledge of CPT, HCPCS, ICD-10 coding.

What is the company culture like at CVS Health?

CVS Health emphasizes building a world of health around every consumer with dedicated, purpose-driven colleagues passionate about transforming health care in a connected, convenient, and compassionate way.

What makes a strong candidate for this Senior Analyst role?

Strong candidates will have the required 1+ year of claims processing experience, QNXT expertise, coding knowledge, plus preferred 3-5 years of relevant experience, problem-solving skills, and certifications like CISSP or CAP.

CVS Health

Comprehensive pharmacy and healthcare services

About CVS Health

CVS Health operates a large network of retail pharmacies and walk-in medical clinics across the United States, providing a variety of health-related products and services. Their offerings include prescription medications, over-the-counter health products, and beauty items, as well as pharmacy benefits management and specialty pharmacy services. CVS Health's integrated business model allows them to serve individual consumers, businesses, and communities effectively, with a focus on improving health outcomes and reducing healthcare costs. Unlike many competitors, CVS Health combines pharmacy services with medical care, making it easier for patients to access quality healthcare. The company's goal is to enhance access to healthcare and support individuals in achieving better health.

Woonsocket, Rhode IslandHeadquarters

1963Year Founded

DEBTCompany Stage

Healthcare, Consumer GoodsIndustries

10,001+Employees

Benefits

Health Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

401(k) Retirement Plan

Company Equity

Wellness Program

Professional Development Budget

Paid Vacation

Paid Holidays

Risks

Legal challenges related to opioid prescriptions could harm CVS's reputation and finances.

The DOJ's intervention in a whistleblower lawsuit may increase legal costs for CVS.

The Horizon Organic Milk recall exposes potential vulnerabilities in CVS's supply chain.

Differentiation

CVS Health operates over 9,600 retail pharmacies and 1,100 walk-in clinics nationwide.

The company integrates pharmacy benefits management with specialty pharmacy services for comprehensive care.

CVS Health offers tailored medication plans through personalized medicine and pharmacogenomics.

Upsides

Expansion of telehealth services allows CVS to reach more patients remotely.

Increased consumer interest in wellness boosts demand for CVS's health-related products.

The trend towards value-based care aligns with CVS's integrated healthcare approach.

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