Integrated Accumulations Consultant

JOB SOURCE: COMPANY
Job offer posted directly by companies on Experteer, or researched by Experteer.
Sign up and apply now

Job Description

This position will be responsible for managing a book of business and representing the Integrated Accumulations Department for CVS/Caremark when working with the assigned Medical Partners/Vendors. This Consultant, will be accountable for interactions with that the assigned medical partner/vendor. This Consultant will be responsible for overseeing the transactions shared between the Medical Partner and CVS/Caremark.. When there are transaction errors, this Consultant will be responsible for resolving those errors either internally or with the help of the Medical Partner. In resolving the transaction errors, this Consultant will be required to investigate and research the source of the error and correct it by using the Department's standard processes and tools. It may also require the Consultant to partner across work streams with other internal resources to ensure the errors are corrected in a timely and efficient manner. This may include representing Integrated Accumulations on cross-functional work teams to resolve specific client issues.

This Consultant will be responsible for meeting operational metrics and providing results for their book of business to the department leadership. Lastly this Consultant will be responsible for implementing service for new clients with existing Medical Partners. This will require the Consultant to work with cross-functional Implementation teams to setup and configure the sharing of transactions within the project plan timeline.

A successful candidate will possess broad business acumen, strong relationship building and relationship management skills, tenacity to find root cause in any problem, and strong independent work management skills. Outstanding written and oral communication skills are essential, A successful candidate will need to be confident working independently, or within a team, in a dynamic and highly complex environment.

Responsibilities % Time

1.Planning, organizing, guiding and tracking all work associated with the assigned book of business, ensuring all metrics for assigned book of business are met. 30%

2.Establishing and building effective relationships with the assigned medical partners. 20%

3.Ensuring all issues and errors are resolved using the department operating standards and within standard turnaround times. 30%

4.Implementing new clients as assigned. 20%

Required Qualifications

  • 1+ years of related professional work experience, Healthcare or PBM preferred.
  • At least 1 year of experience managing a collaborative relationship, either with internal or external partners.
  • 1 or more years of experience using data to solve problems and/or process issues
  • 1 or more years of advanced Microsoft Excel experience

Preferred Qualifications

  1. Strong attention to details and ability to find root cause of issues.

  2. Ability to analyze and provide resolution to routine business and process issues.

  3. Ability to collaborate and partner with teams across the PBM and medical partners to guide resolution to issues and requests.

  4. Ability to operate effectively in a large, complex, and diverse organization. All

  5. Skilled in focusing on desired results, determining and prioritizing what is important and urgent, clarifying next steps, and escalating issues effectively to meet deadlines and achieve desired results

  6. Ability to adhere to the highest ethical standards including honesty, integrity, dedication.

  7. Ability to use Microsoft Suite of products including Word, PowerPoint, Excel, SharePoint, Visio, Project, etc. All

  8. Experience with health care, pharmacy benefit management, integrated accumulations, a plus.All

  9. Operate in a highly complex, matrix, and fast changing environment. This includes managing a book of business that will not be predictable. All

  10. Work directly with internal partners at all levels (may include benefits, testing, account management, etc)

  11. Ability to prioritize work, execute work assignments to ensure deadlines are met, and identify when deliverables are at risk of not being met.

  12. Support and adapt to organizational change when required.

Education

Verifiable High School Diploma required, Bachelors Degree or Equivalent Work Experience 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.

The Experteer Benchmark is an Experteer service that shows you the estimated market value of a specific position. It is not given by the recruiters, and it is an estimate based solely on market data.

Experteer's estimation is based on both the analysis of internal data, as well as external information. The Experteer Benchmark is the average market value at the respective level. This value may be up to 15% higher or lower in each company (greater variation may be possible in individual cases).

The Recruiter Benchmark serves as a reference. The actual salary to be obtained depends on factors such as professional experience and expertise.