by Kay Tay | Jan 10, 2024 | Uncategorized
Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.
Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.
Position Summary
CVS Health is seeking a FP&A Senior Financial Analyst to join our team! The FP&A Senior Financial Analyst position will produce timely and as accurate as possible estimates of rebate rates for the period end accrual, forecast, and budget within tight timelines for PBM revenue booking on multiple lines of business. The complexity of the contracts, concepts, and calculations performed by this function are extremely high requiring an employee with significant work experience to be able to contribute and come up with creative solutions.
Responsibilities:
- Review forecasts based on our earned rebate rates compared to the actual invoiced amounts to determine discrepancies for accurate invoices and timeliness of cash flow.
- Perform detailed data analysis, data mining and reporting for earned rebates to business partners and senior leaders on a regular basis.
- Work with and develop databases, complex models within Excel and Access, as well as large datasets from multiple data warehouses.
- Work with employees at all level across multiple departments including Accounting, Internal Audit, Invoicing, Finance, and our Trade group.
- Ability to make their own decisions on many facets of the job.
- Must have the ability to think on their feet and make decisions that can directly impact revenue.
- Must have the ability to work under high pressure situations, constantly changing priorities, and very tight deadlines.
Required Qualifications
- 3+ years of Finance and/or Accounting experience
- 3+ years of Excel & Access and other databases or data visualization experience
Preferred Qualifications
- Working knowledge of Microsoft Power BI
- Exposure to ETL data tools (eg Python, SQL, Alteryx)
- Experience using business analytics to solve data-driven questions
- Excellent interpersonal and communication skills
- Ability to interpret complex contracts
- Strong organizational skills
- Self-starter, goal-oriented, ability to manage multiple tasks under strict deadlines and high pressure
- Very strong analytical skills
Education
- Bachelor degree in finance, accounting, statistics or technical field required
- MBA Preferred
Business Overview
At CVS Health, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.
We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, sex/gender, sexual orientation, gender identity or expression, age, disability or protected veteran status or on any other basis or characteristic prohibited by applicable federal, state, or local law. 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.
Pay Range
The typical pay range for this role is:
$43,700.00 – $107,200.00
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. APPLY HERE
by Kay Tay | Jan 10, 2024 | Uncategorized
Opportunities with Surest, a UnitedHealthcare Company (formerly Bind). We provide a new approach to health benefits designed to make it easier and more affordable for people to access health care services. Our innovative company is part tech start-up, part ground-breaking service delivery-changing the way benefits serve customers and consumers to deliver meaningful results and better outcomes (and we have just begun). We understand our members and employers alike desire a user-friendly, intuitive experience that puts people in control when it comes to the choices they make and the costs they pay for medical care. At Surest, we pride ourselves in our ability to make a difference, and with the backing of our parent company, UnitedHealthcare, we can operate in the best of both worlds—the culture and pace of an innovative start-up with big company support and stability. Come join the Surest team and discover the meaning behind Caring. Connecting. Growing together.
Surest™, a UnitedHealthcare Company, (formerly Bind) provides a new approach to health benefits designed to make it easier and more affordable for people to access health care services. Our innovative company is part tech start-up, part ground-breaking service delivery-changing the way benefits serve customers and consumers to deliver meaningful results and better outcomes (and we have just begun). We understand our members and employers alike desire a user-friendly, intuitive experience that puts people in control when it comes to the choices they make and the costs they pay for medical care. At Surest, we pride ourselves in our ability to make a difference, and with the backing of our parent company, UnitedHealthcare, we can operate in the best of both worlds-the culture and pace of an innovative start-up with big company support and stability. Come join the Surest team and help us design and deliver a cutting-edge health benefit that changes the face of health care.
You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Minneapolis, MN or NY preferred.
Primary Responsibilities:
- Modeling and forecasting plan performance for new clients
- Providing renewal & forecast support for existing clients
- Evaluating individual employer and book-of-business performance
- Assisting and supporting underwriting for guarantees & stop loss
- Supporting other financial and design-related requests risk-based arrangements
- Helping to standardize processes as Surest grows
- Documenting compliance with industry regulations
- Streamlining established processes via MS Office automation or other tools
- Developing standard processes for new work, as Surest continues to grow
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
- Bachelor’s degree in mathematics or related field
- Proven solid skills in Microsoft Office (PowerPoint, Excel, and in particular financial charts and graphs)
- Willing to work eastern/central hours, due to clients’ needs
Preferred Qualifications:
- 1+ years of performing health plan (self-insured or fully insured) forecasting and analysis
- 1+ years of experience reviewing health claims data and performance
- Experience developing and reviewing health care cost projections
- Experience working with health plans ranging from small to large group
- Actuarial exam track
- Reside either in Minneapolis, New York City, or an Eastern/Central time zone if telecommuting
California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, or Washington Residents Only: The salary range for California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, or Washington residents is $70,200 to $137,800 annually. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives. APPLY HERE
by Kay Tay | Jan 10, 2024 | Uncategorized
Abarca is igniting a revolution in healthcare. We built our company on the belief that with smarter technology we are redefining pharmacy benefits, but this is just the beginning.
The Network Strategy team has a multi-pronged approach to supporting Abarca’s many clients. They consult and create competitive pharmacy networks through leveraging pricing strategies and leading discussions via implementations. This team is also involved in re-contracting, re-implementing and all needs related to our clients throughout their time with Abara. Our Network Strategy team also establishes agreements, pricing schedules, contracting, and credentialing strategies with our networks to ensure proper accordance with any agreements as well as state and federal regulations across all lines of business.
The NCPDP Data Analyst makes sure that crucial data received by the National Council for Prescription Drug Programs (NCPDP) is incorporated correctly in Abarca’s claim processing platform, Darwin, to support pharmacy network integrity and accurate prescription pricing and processing. They will also work towards achieving Network Strategy team’s interest in the initiatives to enhance the application of NCPDP data in claim processing, pharmacy network, and pricing logic. We’ll need the analyst to work on active participation in relevant network and pricing NCPDP work groups and updates to the claim processing standards and the creation and update of Abarca’s payer sheets. You’ll also support in a credentialing role by handling to applicable regulations and internal policies and procedures.
The fundamentals for the job…
- Serve as a subject matter expert (SME) of the NCPDP files received regularly to support ongoing pharmacy network integrity and credentialing.
- Monitor the NCPDP file process for updates requiring notification and/or action on behalf of Abarca or its clients.
- Troubleshoot inquiries from Abarca or its clients with potential root cause from NCPDP file updates.
- Represent the Network Strategy team in multi-department discussions on issues and opportunities to integrate data received from NCPDP into the pharmacy benefit and claim processing platform, Darwin, at the direction of the AVP of Network Strategy.
- Actively participate in relevant NCPDP work groups related to pharmacy network and prescription pricing while serving as representative of Network Strategy team during NCPDP standard update discussions and initiatives.
- Support payer sheet updates for new client implementations and updates to existing payer sheets to support processing initiatives.
- Reports weekly updates to the AVP of Network Strategy.
- Supports other credentialing analysts as needed through conducting ongoing credentialing and re-credentialing processes and ensures compliant and timely revision of all relevant applications.
- Reviews and ensures that all necessary licenses and credentials are verified and timely updated including contacting licensing boards, reviewing enrollment applications, and obtaining information directly from providers.
What we expect of you
The bold requirements…
- Associate’s or Bachelor’s Degree in a related field. (In lieu of a degree, equivalent relevant work experience may be considered.)
- 3+ years of active experience in working with NCPDP file updates in support of credentialing or pharmacy network management.
- Experience with developing and maintaining effective relationships with both internal and external business partners.
- Experience with Microsoft software applications, word processing, and spreadsheet applications.
- Experience applying attention to detail, analytical acumen, and critical thinking to supporting teams cross-functionally.
- Experience working within an environment that requires management of discrete tasks to meet specified deadlines, accurate and consistent management of data elements and/or audit function.
- Excellent oral and written communication skills.
- Familiar with processing and reviewing NCPDP files
Nice to haves…
- Experience within Medicare Part D and Medicaid.
Physical requirements…
- Must be able to access and navigate each department at the organization’s facilities.
- Sedentary work that primarily involves sitting/standing. APPLY HERE
by Kay Tay | Jan 10, 2024 | Uncategorized
At Carta Healthcare, we believe in a multidisciplinary approach to solving problems. Our mission is to automate and simplify the work that burns out clinical staff, so they can focus on patient care. Our AI Enabled Technology offers a complete solution (people, process and technology) to support the Healthcare Registry Data Market. We design products that transform the way hospitals use data to deliver care. We make analyzing data fast, easy, and useful for everyone. We give clinicians time back to focus on research and care that improve patient lives by reducing paperwork. Carta Healthcare is a remote organization with headquarters in San Francisco and Portland, Oregon.
To learn more about our AI Enabled Solutions and more about our company, please visit www.carta.healthcare
We’re looking for Clinical Data Abstractors who will work under the direction of the Lead Data Abstractor to abstract and code information in the prescribed format to satisfy the requirements of the target registry by reviewing patient records and abstracting key data elements.
With the support of our software, Atlas, the Clinical Data Abstractor identifies and validates specific information abstracted and reported from various reports, medical records and electronic files. This critical role completes assignments within a designated time frame, with high accuracy and according to specifications.
We are pleased to offer flexible work schedules and a fully remote work environment. This will initially be a part-time role.
Required Qualifications :
- 2+ years direct Clinical Registry Abstraction experience for a Health System or Hospital
- Current abstracting experience. Actively abstracting within the past 12 months in one or more of the following clinical registries:
- CathPCI
- Chest Pain MI
- EPDI / ICD
- NCDR
- LAAO
- TVT
- AFib
- GWTG
- NSQIP – SCR Certified
- TQIP – CSTR Certified
- STS
- VQI
- Knowledge of basic medical terminology, proficiency in EMR, and exposure to a healthcare environment is appropriate.
- Ownership approach to workload, ability to work independently
- Organized with a high attention to detail and commitment to accuracy
- Team player who is collaborative with excellent communication skills
- Remote training and onboarding compatible
- Wants to grow with the company and believes in the mission
Responsibilities:
- Data collection and entry for multiple registries for Carta Healthcare clients
- Collaborate with nurse practitioners, physician assistants, physicians, other medical professionals to complete patient encounters
- Ensure quality submission of all data in specified registries maintaining a high accuracy threshold.
- Communicate with Carta team and reporting hospitals to streamline data management
- Provide data analysis to reporting hospital managers, as appropriate
- Keeps up to date on mandated regulatory/publicly reported data requirements as specified by federal, state, payer and other agencies.
- Any or other additional responsibilities as assigned
Bonus points:
- Prior experience working remotely
- Experience working with a SaaS, Healthtech or Software company
- RN or LPN credentials
The target wage range for this role is $28.00 -$32.00 per hour. Compensation decisions are dependent on multiple factors including but not limited to skills, experiences, licensure and certifications. APPLY HERE
by Kay Tay | Jan 10, 2024 | Uncategorized
At Carta Healthcare, we believe in a multidisciplinary approach to solving problems. Our mission is to automate and simplify the work that burns out clinical staff, so they can focus on patient care. Our AI Enabled Technology offers a complete solution (people, process and technology) to support the Healthcare Registry Data Market. We design products that transform the way hospitals use data to deliver care. We make analyzing data fast, easy, and useful for everyone. We give clinicians time back to focus on research and care that improve patient lives by reducing paperwork. Carta Healthcare is a remote organization with headquarters in San Francisco and Portland, Oregon.
To learn more about our AI Enabled Solutions and more about our company, please visit www.carta.healthcare
We’re looking for a Clinical Data Abstractor – TVT/LAAO who will work under the direction of the Lead Data Abstractor to abstract and code information in the prescribed format to satisfy the requirements of the target registry by reviewing patient records and abstracting key data elements.
With the support of our software, Atlas, the Clinical Data Abstractor identifies and validates specific information abstracted and reported from various reports, medical records and electronic files. This critical role completes assignments within a designated time frame, with high accuracy and according to specifications.
This role is fully remote and we have a variety of employment opportunities. This will initially be a part time role and has the potential to convert to full time.
Required Qualifications :
- 2+ years direct TVT / LAAO Registry Abstraction experience for a Health System or Hospital
- Current abstracting experience. Actively abstracting within the past 12 months
- Experience and knowledge of several medical registries with relevant clinical background
- Knowledge of basic medical terminology, proficiency in EMR, and exposure to a healthcare environment is appropriate.
- Ownership approach to workload, ability to work independently
- Organized with a high attention to detail and commitment to accuracy
- Excellent communication skills.
- Team player who is collaborative and can work in an independent environment.
- Remote training and onboarding compatible
- Wants to grow with the company and believes in the mission
Responsibilities:
- Data collection and entry for multiple registries for Carta Healthcare clients
- Collaborate with nurse practitioners, physician assistants, physicians, other medical professionals to complete patient encounters
- Ensure quality submission of all data in specified registries maintaining a high accuracy threshold.
- Communicate with Carta team and reporting hospitals to streamline data management
- Provide data analysis to reporting hospital managers, as appropriate
- Keeps up to date on mandated regulatory/publicly reported data requirements as specified by federal, state, payer and other agencies.
- Any or other additional responsibilities as assigned
Bonus points:
- Prior experience working remotely
- Experience working with a SaaS, Healthtech or Software company
- RN or LPN credentials
The target wage range for this role is $28.00 -$32.00 per hour. Compensation decisions are dependent on multiple factors including but not limited to skills, experiences, licensure and certifications. APPLY HERE
Recent Comments