As an Electronic Data Delivery Consultant you will be responsible for the implementation and ongoing support of Claims Experience Transmissions (CET Files) on behalf of our clients and their vendors.
The Consultant will have primary ownership of the administration of client and pharmacy claim data and ensuring the accuracy and prompt delivery of information to clients and vendors and is responsible for the timely and complete resolution of client and vendor issues and requests. This includes the monitoring of outbound files, resolution of errors and the creation of ongoing and ad hoc files.
Effective written and verbal communication skills
Strong ability to perform research and analysis
Familiarity with RxClaim adjudication platform or AS400 system knowledge
Experience with electronic data generation
General understanding of pharmacy claims processing
Background experience in pharmacy is desired
Firm understanding of data collection, organization and data management systems
Strong quality awareness and firm understanding of process flow evaluation
Ability to make wise, independent decisions
Ability to set and communicate work priorities
Strong problem solving skills and ability to negotiate successful solutions
Excellent analytical and organizational skills
Verifiable High School diploma or GED required.
Bachelor's degree is preferred.
It's a new day in health care.
Combining CVS Health and Aetna was a transformative moment for our company and our industry, establishing CVS Health as the nation's premier health innovation company. Through our health services, insurance plans and community pharmacists, we're pioneering a bold new approach to total health. As a CVS Health colleague, you'll be at the center of it all.
We offer a diverse work experience that empowers colleagues for career success. In addition to skill and experience, we also seek to attract and retain colleagues whose beliefs and behaviors are in alignment with our core values of collaboration, innovation, caring, integrity and accountability.
CVS Health is an equal opportunity/affirmative action employer. Gender/Ethnicity/Disability/Protected Veteran we highly value and are committed to all forms of diversity in the workplace. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities. 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. We provide reasonable accommodations to qualified individuals with disabilities. If you require assistance to apply for this job, please contact our Advice and Counsel Reasonable Accommodations team. Please note that we only accept applications for employment via this site.
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