Job DescriptionAs a Clinical Relationship Advisor (CRA), you will lead the strategic documentation and deployment of our clients’ prescription benefit plan designs in the clinical space of utilization management and formulary. The CRA position affords you the opportunity to collaborate with multiple departments. You will be seen as a client problem-solver and will bring innovation solutions for high profile pharmacy benefit management (PBM) clients. You will accomplish this by:
- Building relationships with key client stakeholders through a consultative approach to fully understand clinical components of client benefit plan design needs
- Translating client needs and requirements into operational formats for CVSHealth teams such as Clinical Configuration, Benefits Coding and Quality Analysis
- Facilitating internal and external meetings and presentations to provide status updates and make decisions relative to client benefit setup
As a CRA, your success will be driven by exceeding client satisfaction score targets as well as contributing to reduced service warranty payments to clients. Your healthcare industry knowledge in the areas of Formulary Management, Drug Utilization Management, and Reimbursement and Claims Adjudication will also contribute to your success. As a CRA 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 as a CRA will position CVS Health as a leader in client satisfaction and service in the PBM marketplace. Required Qualifications* 5 or more years of experience in account management, benefit plan design, or related client-facing field
* 5 or more years of expert-level experience in RxClaim/AS400
* Willingness and Ability to travel up to 30% Preferred Qualifications* Experience working in Salesforce.com
* PBM Industry Experience
* Clinical Understanding of Formulary and Utilization Management Education* Bachelor's degree required; equivalent work experience may substitute 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 EEO AA CVS Health
CVS Health does not require nor expect that applicants disclose their compensation history during the application, interview, and hiring process.
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: https://jobs.cvshealth.com/