Manager, Finance Operations, CVS Health

Manager, Finance Operations

CVS Health

Location:
United States, Scottsdale

Category:
Finance

Contract Type:
Employment contract

Salary:

60300.00 - 132600.00 USD / Year

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Job Description:

This position is responsible for reviewing claims and PDE (Prescription Drug Event) errors. This includes analyzing and distributing the PDE Rejections reports and analysis to internal and external clients. The position will serve as liaison between the PDE Reporting Team, PDE Eligibility/Reconciliation and all entities involved directly or indirectly with PDE to ensure timely and accurate resolution of PDE Rejections.

Job Responsibility:

Reviewing claims and PDE (Prescription Drug Event) errors
Analyzing and distributing the PDE Rejections reports and analysis to internal and external clients
Serving as liaison between the PDE Reporting Team, PDE Eligibility/Reconciliation and all entities involved with PDE
Download and review the Acumen Outliers
Coordinate research with various departments and submit responses to external clients or Acumen according to CMS deadlines
Assist with weekly PDE meetings
Ensure continuous improvement of Medicare claims data through root cause and impact analysis of errors
Study and correctly interpret CMS Guidance
Ensure compliance with CMS

Requirements:

5+ years' experience as a Claims Analyst, Data Analyst, Internal Auditor, and/or Business Analyst
1+ years of experience with Medicare Part D
Bachelor's degree or equivalent work experience required

What we offer:

Affordable medical plan options
401(k) plan with matching company contributions
Employee stock purchase plan
Wellness screenings
Tobacco cessation and weight management programs
Confidential counseling
Financial coaching
Paid time off
Flexible work schedules
Family leave
Dependent care resources
Colleague assistance programs
Tuition assistance
Retiree medical access

Additional Information:

Job Posted:
October 01, 2025

Expiration:
October 16, 2025

Employment Type:

Fulltime

Work Type:

Hybrid work

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