Adjudication Solutions Advisor
Northbrook , Illinois
October 17, 2017
Position Summary:
As the Adjudication Solutions Advisor, you will act in the role of lead project facilitator for the team and across departments. In this role you will coordinate across departmental projects ensuring consistency in all project deliverables and be responsible for facilitating, defining and documenting business requirements for strategic Client Services projects. The projects you manage will be geared toward operational efficiencies in adjudication claim processing, as well as support of other operational applications such as Client On Line Services. You Will be directly responsible for working with the information services department as key sign-off for all phases of the application development. You will be responsible for project concept, requirement sign-off, design sign-off, User Acceptance testing, implementation and rollout of new functionality. You will accomplish this by:
- Managing Key projects with multiple competing deadlines
- Consulting with internal partners
- Facilitating internal and external meetings and presentations to provide status updates and make decisions relative to client benefit setup

As the Adjudication Solutions Advisor, your success will be driven by your ability to effectively communicate and partner with key cross-functional stakeholders and manage your projects across the finish-line. Your ability to juggle multiple priorities and resolve ambiguous requests will also contribute to your success. You will operate in a fast-paced environment with tight deadlines so ability to operate autonomously and make key decisions is imperative. The contributions you will make will position CVS Health as a leader in the PBM marketplace.

Required Qualifications:
* 5 or more years of experience leading projects and cross functional teams in an automated production environment

Preferred Qualifications:
* PBM or related industry experience
* Working knowledge of the Microsoft suite of products including Word, Excel and PowerPoint
* Well-developed management, written & oral communication, and presentation skills
* Demonstrated skills planning, executing, and managing complex initiatives and functions
* Strong Leadership Competencies in the areas of Inspiring Trust, Open Communication, People Development, Strategic Focus
*Ability to attract highly skilled people, develop and build a high performance team

* Bachelor’s degree strongly preferred. HS Diploma/GED required.

Business Overview:
CVS Health, through our unmatched breadth of service offerings, is transforming the delivery of health care services in the U.S. We are an innovative, fast-growing company guided by values that focus on teamwork, integrity and respect for our colleagues and customers. What are we looking for in our colleagues? We seek fresh ideas, new perspectives, a diversity of experiences, and a dedication to service that will help us better meet the needs of the many people and businesses that rely on us each day. As the nation’s largest pharmacy health care provider, we offer a wide range of exciting and fulfilling career opportunities across our three business units – MinuteClinic, pharmacy benefit management (PBM) and retail pharmacy. Our energetic and service-oriented colleagues work hard every day to make a positive difference in the lives of our customers.

CVS Health is an equal opportunity employer. We do not discriminate in hiring or employment against any individual on the basis of race, ethnicity, ancestry, color, religion, sex/gender (including pregnancy), national origin, sexual orientation, gender identity or expression, physical or mental disability, medical condition, age, veteran status, military status, marital status, genetic information, citizenship status, unemployment status, political affiliation, or on any other basis or characteristic prohibited by applicable federal, state or local law. CVS Health will consider qualified job candidates with criminal histories in a manner consistent with federal, state and local laws. CVS Health will not discharge or in any other manner discriminate against any Colleague or applicant for employment because such Colleague or applicant has inquired about, discussed, or disclosed the compensation of the Colleague or applicant or another Colleague or applicant. Furthermore, 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

Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. If you require assistance to apply for this job, please contact us by clicking AA EEO CVS Health

For inquiries related to the application process or technical issues please contact the Kenexa Helpdesk at 1-855-338-5609. For technical issues with the Virtual Job Tryout assessment, contact the Shaker Help Desk at 1-877-987-5352. Please note that we only accept resumes via our corporate website:

A little about us:

Please stay connected with us: Sign up to receive our job alert notifications.

Or learn more about us:

Know someone who would be interested in this job? Share it with your network.