CVS Health
CVS Health
CVS Health — денсаулық сақтау қызметтері, медициналық сақтандыру, дәріхана жәрдемақыларын басқару және бөлшек дәріхана салаларында жұмыс істейтін америкалық денсаулық сақтау компаниясы. Aetna және CVS Caremark сияқты бизнес бағыттары арқылы медициналық сақтандыруды, рецепт бойынша дәрілерге қолжетімділікті, ауруларды басқаруды, арнайы дәрілерді және пошта арқылы дәріхана қызметтерін ұсынады. Оның жергілікті дәріханалары мен кең ауқымды медициналық қызметтері адамдарға негізгі медициналық көмекті ыңғайлырақ әрі қолжетімді бағамен алуға көмектесуге бағытталған. CVS Health сақтандыру, дәріхана және денсаулық сақтау қызметтерін біріктіріп, адамдар мен қауымдастықтарға емделу жолының барлық кезеңінде қолдау көрсетеді.

Senior Business Analytics Analyst, Texas Remote

Review client guarantee results and pricing risk for CVS Health’s pharmacy benefits operations. Build financial models, run SQL analyses, and prepare reporting for management.

Сипаттама

  • Assess monthly guarantee results for each client.
  • Prepare reports on financial performance.
  • Supply reports and information for audit requests.
  • Work with Underwriting, Networks, Sales and Account Management, Audit, and Legal to assess contract terms and advise on pricing strategy.
  • Run monthly data queries for assigned guarantee clients.
  • Analyze results, drug mix, and utilization to find ways to reduce financial risk.
  • Partner with underwriting, finance, and accounting teams to address process gaps and overlaps.
  • Compare underwriting assumptions and contract terms with actual results through lookback analyses.
  • Create reporting packages and presentations for management.
  • Develop best practices and draw conclusions to support key business decisions.

Талаптар

  • At least 3 years of experience building financial models and working with large datasets in a database environment.
  • At least 3 years of experience managing multiple projects and delivering results on time.
  • At least 2 years of experience with SQL and Google Cloud BigQuery.
  • Proficiency in Excel.
  • A bachelor’s degree or equivalent work experience.
  • Knowledge of the health insurance, managed care, or pharmaceutical industry is preferred.
  • At least 2 years of PBM experience, preferably in drug pricing and analytics.

Артықшылықтар

  • Medical coverage.
  • Dental coverage.
  • Vision coverage.
  • Paid time off.
  • Retirement savings options.
  • Wellness programs.
  • Resources supporting physical, emotional, and financial well-being.
  • A CVS Health bonus, commission, or short-term incentive program in addition to base pay.

Ұқсас жұмыс орындары

Fiat Republic

Junior Compliance Analyst

Fiat Republic
11 – 50 Қызметкерлер
Банк ісіКриптовалютаФинтех

Handle KYC/CDD, enhanced due diligence, and financial crime controls at Fiat Republic, a fintech that provides banking and payment infrastructure for cryptocurrency companies. Help strengthen compliance operations across multiple jurisdictions.

Ашу
Aprio

Audit Manager – Aprio

Aprio

Lead a portfolio of audit engagements, guide and develop staff, and support client relationships and business growth at Aprio, a Top 20 CPA and advisory firm. This full-time hybrid role is based in the United States.

Ашу
Elevance Health

Clinical Provider Auditor I

Elevance Health

Review healthcare claims and medical records for potential fraud and abuse, support investigations, and recommend ways to improve coding compliance and limit losses at Elevance Health.

Ашу
Endurance

Senior Internal Auditor

Endurance

Conduct risk-based audits and financial control testing across Sompo’s North American insurance operations. Report findings, recommend remediation, and help strengthen controls and audit practices.

Ашу
Bank of America

Risk Process Analyst

Bank of America

Support Bank of America’s enterprise testing through process analysis, data validation, and risk-control assessments. Execute tests and report findings across banking processes.

Ашу
American Express

Compliance Analyst

American Express

Conduct enhanced due diligence investigations into high-risk customers at American Express. Analyze customer activity and escalate suspicious cases to support anti-money laundering compliance.

Ашу
Sutherland

Senior Associate Health Claims Quality Auditor (Remote, New Jersey)

Sutherland

Review U.S. healthcare claims, including high-dollar billing, to find errors and potential fraud risks. Help improve claim quality and processes at Sutherland.

Ашу
Bank of America

Risk Process Analyst

Bank of America

Support Bank of America’s Enterprise Independent Testing team by assessing banking processes, controls, and risks. Analyze data, carry out tests, and report findings.

Ашу
Reddit, Inc.

Staff Android Platform Engineer

Reddit, Inc.
501 – 1 000 Қызметкерлер
КонсалтингМаркетингМедиа

Set technical direction for Reddit’s Android platform and guide its growth at scale. Improve client health, developer workflows, architecture, and AI-assisted engineering.

Ашу
Nexer Tech Talent

Senior Android Developer

Nexer Tech Talent

Develop and maintain customer-specific digital services in a long-term in-house role at Nexer Tech Talent. Guide Android architecture and technical decisions while delivering quality-focused solutions for complex projects.

Ашу