Clinical Support Analyst

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Position Summary

The Clinical Analyst role on the CVS Aetna IBU team is a great opportunity for an individual with analytical interest and skills.  The individual will work with clinical data and tools to help the Clinical Advisors provide strategic consultation and deliverables.

Required Qualifications

• 2 plus years of work experience working with healthcare data, preferred pharmacy data
• 3 plus years of experience in Microsoft Office suite including proficient skills utilizing Outlook, Access, Word, Excel and PowerPoint.
• Supports clinical advisors to meet client reporting requirements and deliverable, both scheduled and adhoc
• Support clinical advisors on data needed to support PA Criteria submission to configure internal utilization platforms (CAS and MedHOK)
• Supports clinical advisors to help communicate client formulary changes to internal partners
• Support clinical advisor with Prior Authorization monthly updates, extensions and migrations, working with IBU data analysis team, Account Management, and PBM Clinical PA team
• Clarifies needs and suggests innovative ideas to meet client/clinical advisor requests
• Provides consultative analysis of results and suggests additional analysis, if appropriate
• Consistently performs quality checks on reports/deliverables and ensures data is accurate before sharing with clinical advisor
• Proactively suggests solutions and integrates best practices across accounts
• Request, interpret and analyze claims data for impact and remediation
• Suggests and creates innovative solutions for improving existing process flows
• Special projects and workgroups as needed to improve efficiency and client satisfaction

Preferred Qualifications

•  Pharmacy experience
• Medicare Experience
• Pharmacy Technician certification
• Strong Communication skills
• Ability to work at a fast pace
• Critical thinking skills
• Strategic thinking skills
• Ability to work in a team setting
• Ability to demonstrate strong problem-solving skills
• Ability to work independently and effectively manage workload
• Client Facing/consultation experience
• Process flow improvement experience with Visio
• Ability to create macro-enabled Access/Excel tools

Education

• High School Diploma or equivalent GED

Anticipated Weekly Hours

Time Type

Pay Range

The typical pay range for this role is:

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.  The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.  This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. 
 

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

Additional details about available benefits are provided during the application process and on Benefits Moments.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.