As an Analyst within the Product Service Clinical Client Operations you will be working directly with our Senior Analyst, as well as our internal business partners to support clinical initiatives. As a Clinical Operations Analyst your duties will emphasize data analysis and set up evaluation for various programs such as Formulary, Specialty Pharmacy, and Utilization Management, especially related to CVS Health standard product lists used for RxCLAIM Adjudication benefits designs.This position is responsible for analyzing and evaluating changes for updating RxCLAIM related to standardized programs and custom client utilization management.
Additional Responsibilities of a Client Operation Analyst include, but are not limited to:
- Document review,current system validation
- Trending analysis, and supporting ad hoc situations,
- coding changes into RxCLAIM system as needed,
- Medicare Part D coding
- Interfacing with internal clients via conference calls and written communication
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