Healthcare Jobs at CVS Health in Scottsdale, AZ

191 job openings within 25 miles

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Enrollment Analyst

CVS Health - Scottsdale, AZ

As an Enrollment Analyst, you will support the New England Joint Enterprise (NEJE) Enrollment Operations team with quality analytics and process improvement initiatives. In this role, you will identify process inefficiencies and training opportunities, as well as facilitate ad hoc process training as necessary. In the Enrollment Analyst role, you will work cross functionally with various operat...

Pharmacy Claims Auditor

CVS Health - Scottsdale, AZ

CVS Caremark is seeking a Pharmacy Auditor in Scottsdale, AZ to review any pharmacy claims submitted through the CVS Caremark claims processing systems. The Pharmacy Auditor will identify and rectify claims inaccuracies that would result in client overpayment. Responsibilities of the Pharmacy Auditor include: • Contact pharmacies for proper documentation or resubmission of i...

Senior Coordinator Production Services Med D

CVS Health - Scottsdale, AZ

CVS Health is looking for a Senior Coordinator Production Services Med D, you will be responsible for timely and accurate quality validation for member's correspondence, including but not limited to: Operational Letters, ID cards, Coordination of Benefits and Welcome Kits for all members. The Senior Coordinator will establish a positive working relationship with internal and external customers ...

Sr Consultant Strategic Process Improvement

CVS Health - Scottsdale, AZ

The Senior Consultant, Strategic Process and Productivity Improvement for the Government Services Process Improvement team will play a vital role in innovative, high profile programs that result in disruptive improvements to operations. This role is critical to the successful growth of the Government Services business and will drive solutions that have a profound impact on the future direction ...

Pharmacy Technician - Authorization and Appeals

CVS Health - Scottsdale, AZ

CVS Caremark has an exciting opportunity for a prior authorization technician. You will be responsible for taking in-coming calls from members, providers, etc. to provide professional phone assistance to callers through the criteria based prior authorization process. Additional responsibilities include maintaining complete, timely and accurate documentation of all approvals and denials, and tra...

SQL Developer - Senior

CVS Health - Scottsdale, AZ

As a SQL Developer, you will use internal CVS Health and SilverScript systems to design, develop, and produce professional enrollment reports and data files for several Medicare Part D plans. Additionally, the SQL Developer will support the Medicare Operations Team in ensuring that proper changes are implemented and documented. This role allows you to also interface with other areas within the ...

Pharmacy Manager

CVS Health - Scottsdale, AZ

Health is everything. At CVS Health, colleagues are committed to increasing access, lowering costs and improving quality of care. Millions of times a day, we help people on their path to better health –from advising on prescriptions to helping manage chronic and specialty conditions. As Pharmacy Manager, you have one of the most significant roles in our company – delivering our purpose, mod...

Enrollment Coordinator - Senior

CVS Health - Scottsdale, AZ

As a Senior Enrollment Coordinator, you will be supporting Caremark's largest client, New England Joint Enterprises (NEJE). Reporting directly to the Enrollment Supervisor, the Enrollment Coordinator determines eligibility and performs various enrollment and disenrollment processes for Medicare Part D individual plan members and employer groups according to the CMS Guidance to ensure complia...

Grievance Analyst

CVS Health - Scottsdale, AZ

As a Grievance Analyst, you will be directly supporting Medicare Part D (Med D) members with concerns and grievances related to their accounts. This is a great opportunity to support a leading Pharmacy Benefit Management ( PBM ) company with resolving member grievances and improving customer service levels. In this role as a Grievance Analyst, you will be responsible for: Pr...

Medicaid Pharmacy Network Advisor - Senior

CVS Health - Scottsdale, AZ

Reinvent your career with the company reinventing healthcare. Join the team at CVS Health . The Medicaid Pharmacy Network Advisor - Senior has a direct impact on how our clients view our compliance with Medicaid regulations and has a direct correlation with their confidence in CVS Health's stability to administer their plans from an individual state and plan oversight perspective. You w...

Enrollment Coordinator - Lead

CVS Health - Scottsdale, AZ

As a Lead Enrollment Coordinator, you will support the Medicare Part D (Med D) Enrollment Operations department by serving as an enrollment subject matter expert. In this role, you will review and validate retro process requests in compliance with Centers for Medicare & Medicaid Services (CMS) guidelines, policies, and procedures. As an Enrollment Coordinator, you will also submit retro process...

Staff Pharmacist Floater FT

CVS Health - Scottsdale, AZ

Responsible for all aspects of Pharmacy Operations within their store including inventory, personnel and security with emphasis on customer relations. The individual responsibilities are shared equally by all Pharmacists within the store. ESSENTIAL FUNCTION: Customer Service • Service and satisfy the customer/s as health care needs in and out of Pharmacy area • Openly co...

Government Programs Regulatory Affairs Sr Advisor

CVS Health - Scottsdale, AZ

TheGovernment Programs Regulatory Affairs team is responsible for understandingand interpreting Medicare, Medicaid, and Exchanges regulatory guidance and itsimpact on client delegated functions to CVS Caremark. The RegulatoryAffairs team works in a consultative approach with internal businessdepartments to identify any impacts on current processes due to new and/orupdated regulatory guidance. <...

Grievance Analyst – Senior

CVS Health - Scottsdale, AZ

As a Senior Grievance Analyst, you will be responsible for addressing, resolving, and responding to account issues and member concerns as identified in a formal CTM or Grievance in accordance with Centers for Medicare & Medicaid Services (CMS) guidelines. In this role, you will have the opportunity to interact directly with clients, internal business partners, and CMS. Additionally, you will su...

Workforce Management Analyst

CVS Health - Scottsdale, AZ

As a Workforce Management Analyst, you will be supporting a variety of Workforce Management functions for Med-D Enrollment Operations to ensure appropriate staffing by department. Additionally, the Workforce Management Analyst will include creating and maintaining reports/data, Verint WFM, and leading workflow calls with various locations. This role allows you to promote a positive work environ...