Business Analytics Associate

This is a fully remote position, open to applicants in Arizona.

📋 Description

• Assess and address pharmacy inquiries concerning Non-MAC pricing while ensuring adherence to Non-MAC legal requirements.

• Confirm pricing and product details utilizing Medispan, wholesaler information, and other reliable resources.

• Observe market conditions and escalate potential concerns to management.

• Assist Non-MAC team contractors by responding to inquiries and providing training sessions.

• Oversee and conduct testing activities for IT system rollouts.

• Investigate and reply to Department of Insurance inquiries for submission to state regulatory bodies.

• Support management with various ad hoc tasks and special initiatives.

⛳️ Requirements

• A minimum of 4 years of experience in Pharmacy Benefit Management (PBM).

• Familiarity with all non-MAC appeal processes, state regulations, and claims adjudication, including adjudication logic.

• Experience with the RxClaim platform (AS400).

• Proficiency in Excel, Word, Salesforce, and Pharmacy Porta.

• Capability to operate under strict deadlines.

• Strong skills in mathematical problem-solving.

• Knowledge of wholesaler invoices.

• Bachelor's Degree or an equivalent combination of education and experience.

🏝️ Benefits

• CVS Health bonus, commission, or short-term incentive program.

• Medical coverage.

• Dental coverage.

• Vision coverage.

• Paid time off.

• Retirement savings options.

• Wellness programs.

• Additional resources supporting physical, emotional, and financial well-being, depending on eligibility.