CVS Health

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Advisor Anthem Network

at CVS Health

Posted: 6/13/2018
Job Reference #: 812006BR
Keywords: management

Job Description

Job Title :
Advisor Anthem Network
Job ID :
Location :
AZ - Scottsdale
Street Address :
9501 E Shea Blvd
Category :
Description :
Job Description
This Advisor position will support Anthem. You will support projects that are responsible for enrolling new pharmacy providers into networks, building and maintaining client custom networks, ongoing maintenance of our provider network and issue research and resolution. You will be accountable for a high volume of requests, most of which require subject matter expertise on our systems, claims adjudication, network pricing and client network set-ups. This role will require building partnerships with other business units as well as key external business partners This position will interface with Anthem to help design operational solutions to meet their business needs. This role reports to the Director of Network Operations. The Advisor will take ownership of building and maintaining a quality review process to ensure network pricing accuracy and compliance with our pharmacy network contracts. To be successful in this role, you will need to be oriented toward relationship building, timeliness attention to detail, teamwork, and problem solving.

Required Qualifications
- Minimum of seven years of professional experience.
- Minimum of one year of contract review and claims research experience.

Preferred Qualifications
- RxClaims knowledge and experience preferred.
- Health care and or pharmacy benefit management experience preferred.

Verifiable High School diploma or GED is 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 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:

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!