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Operational Improvements, Medicare Part D Clinical Operations Advisor (Houston)

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CVS Health


The Operational Improvements, Medicare Part D Clinical Operations Advisor, is responsible for supporting the Med D Operations Team's strategy to achieve operational excellence and provide consistent, accurate outcomes for our beneficiaries. In this role you must be able to solve complex problems, lead and perform root cause analysis, propose solutions, assist with design, testing, measurement, and change management. You will be a vital contributor to the improvements in systems reliability, workflow, productivity, cost, and quality. You will also be involved in planning, design and execution of key projects. You'll be joining a group that operates in focused project teams and/or be a major contributor to larger project teams. You must be knowledgeable in all aspects of the coverage determination and appeals process and assist in meeting client expectations regarding efficiency, service levels, privacy maintenance, system reliability, and workflow. You'll work as part of the team to meet business unit objectives and will be responsible for applying critical thinking to their strategies, as well as completing data analysis and various cross functional projects.

Required Qualifications
- 1 or more years of experience with a pharmacy benefit manager
- 3 or more years of experience with Medicare Part D and/or Medicare B
- 2 or more years Project Management experience.

Preferred Qualifications
- Organize, prioritize and manage multiple tasks on a regular basis with high level of detail
- Excellent Oral and Written communication skills and interpersonal skills
- Customer Service internally and externally
- Adaption to Change Management
- Self-motivated with a strong attention to detail
- Ability to work in a high production, time sensitive environment
- Able to prioritize and manage multiple tasks
- Demonstrates resourcefulness in problem-solving
- Displays confidence in the ability to learn complex material
- Computer Knowledge including: Microsoft office products, Windows based operations, data entry and clinical systems

- Bachelors Degree required, or equivalent experience may be considered. Masters degree or above 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-###-#### or For technical issues with the Virtual Job Tryout assessment, contact the Shaker Help Desk at 1-877-###-####.
Associated topics: electrician, medical technologist, operational staff, operator, pharmacy technician, service support, technical, technician lab, technician laboratory, wire
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