Clinical Support Analyst

This is a fully remote position, open to applicants in Montana, +3 more states.

📋 Description

• Collaborate with clinical data and tools to assist Clinical Advisors in their strategic consultations and deliverables.

• Aid Clinical Advisors in fulfilling scheduled and ad hoc client reporting obligations and deliverables.

• Supply necessary data for PA Criteria submissions and configure internal utilization systems, including CAS and MedHOK.

• Assist in communicating client formulary modifications to internal stakeholders.

• Support the monthly updates, extensions, and migrations for Prior Authorization in conjunction with IBU Data Analysis, Account Management, and PBM Clinical PA teams.

• Identify requirements and propose innovative solutions for requests from clients and Clinical Advisors.

• Analyze outcomes and provide consultative analysis, including additional insights when necessary.

• Conduct quality checks on reports and deliverables while ensuring data accuracy.

• Recommend solutions and implement best practices across various accounts.

• Request, interpret, and analyze claims data for impact assessment and remediation.

• Develop innovative solutions to enhance existing process flows.

• Engage in special projects and workgroups aimed at boosting efficiency and client satisfaction.

⛳️ Requirements

• A minimum of 2 years of experience working with healthcare data, preferably in pharmacy data.

• At least 3 years of experience with the Microsoft Office Suite.

• Proficiency in Outlook, Access, Word, Excel, and PowerPoint.

• Experience in pharmacy operations.

• Familiarity with Medicare processes.

• Certification as a Pharmacy Technician.

• Excellent communication skills.

• Capacity to work in a fast-paced environment.

• Strong critical thinking abilities.

• Strategic thinking capabilities.

• Ability to collaborate effectively within a team.

• Exceptional problem-solving skills.

• Competence to work independently and manage workload efficiently.

• Experience in client-facing roles or consultation.

• Background in process flow improvement utilizing Visio.

• Ability to create macro-enabled Access/Excel tools.

• High school diploma or equivalent GED.

🏝️ Benefits

• CVS Health bonus, commission, or short-term incentive program in addition to base salary.

• Medical insurance coverage.

• Dental insurance coverage.

• Vision insurance coverage.

• Paid time off.

• Retirement savings options.

• Wellness programs.

• Additional resources supporting physical, emotional, and financial well-being, subject to eligibility.