Business Analytics Associate CVS Health · Remote, AZ Posted today

Job DetailsFull-time# Business Analytics AssociateCVS Health · Remote, AZTailor My ResumeStart free. No credit card.### About the roleThe Non-MAC team is responsible for reviewing and responding to all pharmacy Non-MAC pharmacy appeals and collaborating with the Legal team to respond to any Non-MAC related complaints from state agencies.### Responsibilities* Non-MAC Pricing Compliance & Inquiry Resolution: Review and resolve pharmacy inquiries related to Non-MAC pricing, ensuring compliance with Non-MAC law requirements.* Data Validation & Source Verification: Validate pricing and product information using trusted sources such as Medispan and wholesaler information.* Market Monitoring & Issue Escalation: Identify changes in marketplace conditions and promptly escalate potential issues to leadership to minimize impact on pharmacies and plan members.* Team Support & Training: Assist the Non-MAC team contractors by answering questions and providing training support as needed.* IT Implementation Testing: Back up lead tester by monitoring and performing testing activities related to IT system implementations to ensure functionality and accuracy as needed.* Regulatory Inquiry Support: Research and respond to Department of Insurance (DOI) inquiries, providing accurate andtimely information to the DOI team to submit to state regulators.* Ad Hoc Management Support: Provide assistance to management with various ad hoc tasks and special projects as assigned.### Qualifications* 4 years Pharmacy Benefit Management (PBM) experience with all non-MAC appeal related processes, state regulations, and claims adjudication, including claims adjudication logic Experience with RxClaim platform (AS400)### Preferred* Proficient in Excel, Word, Salesforce, and Pharmacy Porta* Ability to work under tight deadlines* Strong mathematical problem-solving skills* Familiarity with wholesaler invoicesPostedTodayJob TypeFull-timeSalary$21 – $41 USD/hourLocation* Remote, AZ #J-18808-Ljbffr QuickCruit, Inc.