Electronic Data Delivery Consultant

CVS Health Scottsdale , AZ 85250

Posted 3 weeks ago

Job Description:

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.

Required Qualifications

  • 2+ years of professional work experience required. Experience coming specifically from a pharmacy setting and/or healthcare strongly preferred.
  • 2+ years of MS Office experience.

Preferred Qualifications

  • 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

Education

Verifiable High School diploma or GED required.

Bachelor's degree is preferred.

Business Overview

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.

If technical issues are preventing you from applying to a position, contact Kenexa Helpdesk at 1-855-338-5609 or cvshealthsupport@us.ibm.com. For technical issues with the Virtual Job Tryout assessment, contact the Shaker Help Desk at 1-877-987-5352.


icon no score

See how you match
to the job

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Project Delivery Consultant

Hard Dollar

Posted 4 days ago

VIEW JOBS 4/16/2019 12:00:00 AM 2019-07-15T00:00 Company Description: InEight is a leading developer of construction project management software that enables contractors, engineers and owners to overcome their greatest project pain points. InEight's solutions span every stage of the project life cycle from design to estimate and from field execution to turnover. The solutions give project stakeholders the real-time information and insights needed to minimize risks, improve operational efficiency, control project costs, and make educated decisions easily. Based in Scottsdale, Arizona, InEight has offices in Omaha, Nebraska; Melbourne, Australia; Sydney, Australia; Colombo, Sri Lanka; and Bengaluru, India. InEight, an ISO 9001:2015-registered company, is a subsidiary of Kiewit Corporation (Kiewit). Kiewit, through its subsidiaries, is one of North America's largest and most respected construction and engineering organizations. InEight is a fast-paced, innovative company comprised of high energy teams of self-starters playing integral roles in shaping the future of capital projects around the world. Our industry-leading solutions, dedicated employees, and proven leadership team provide a solid foundation to support our continued growth and success. We offer competitive compensation, medical/dental, & vision benefits, 401K plan, and lots of additional perks, such as; monthly birthday celebrations with treats and a Cultural Ambassador team committed to making InEight a great place to work. Position Summary: As a Project Delivery Consultant, you will be responsible for training companies core teams when implementing the InEight software. We are looking for a problem-solver, trying to understand how our client organizations do business and implementing the suite of tools to solve functional gaps. You will work with a wide range of owners, engineering and construction firms, utilizing that construction or engineering background to facilitate better decision-making for our clients. We are looking for someone who is self-organized and communicates well with all levels of an organization. Someone who is is client-focused and who ensures that our customers' satisfaction is at the forefront of how InEight does business. Responsibilities: * Works with a wide range of Construction & Engineering companies to implement and train the InEight suite tools * Understands and helps convey business processes, end-user roles, and helps InEight Product and Support teams drive quality solutions and services * Works cross-functionally with a variety of InEight teams to ensure solution decisions are in alignment with the overall portfolio strategy * Helps provide feedback for InEight - Product Manager / Product Owner to aid in the creation and prioritization of the product backlog * Assists with InEight product testing and defect resolution prior to product release and during hyper care * Assists with producing, maintaining and delivering end-user training and marketing communications regarding the InEight products * Leverages construction background to implement InEight products and help fast track successful product adoption * Serves as an InEight spokesperson with client's stakeholders * Self-organized and communicates well with internal teams as well as external clients. * Stays focused on delivering quality services, encourages teamwork, transparency and collaboration Qualifications: * Experience working in the Construction/Engineering industry required * Experience working as an Estimator, Project Engineer, or Construction Project Manager preferred * Technology Savvy- with the ability to quickly learn and adopt new technologies * Strong background in Estimating, Contract Management, Bid Packaging, Business Management, Document Control, Change Management. * Able to travel across the United States approximately 50% * Educated in any one of the following areas: construction management, engineering sciences, business administration, computer science and applied technology, communications, and teaching (with focus on secondary or adult education) * Experience facilitating training face-to-face and online meetings * Experience working with a wide range of company roles and positions (i.e. Front Line Craft, Project Management, Administration and Executive-level roles) * Able to communicate well with teams. Strong verbal and written communication skills, with proven ability to present information both to technical and non-technical customers/stakeholders, in the appropriate media and form. * Able to synthesize and articulate complex concepts targeted at multiple audiences * Experience working with geographically dispersed teams * Experience with standard Office products, PDF software, road mapping tools (ie Aha!), support tools (ie ServiceNow), testing tools (ie HP ALM) and project management and collaboration software (ie Smartsheet, Sharepoint, Microsoft Teams) * This position has the flexibility to work remotely InEight Inc. is an Equal Opportunity Employer, (EOE) and will consider all applications without regard to race, marital status, sex, age, color, religion, national origin, veteran status, disability or any other characteristic protected by law. Hard Dollar Scottsdale AZ

Electronic Data Delivery Consultant

CVS Health