[Hiring] Associate Business Analytics @CVS Health

Role Description

The MAC team is responsible for all aspects of MAC list maintenance. This includes:

• Creating new MAC lists and managing existing MAC lists
• Uploading MAC prices to the adjudication platform
• All MAC related QC processes
• Working closely with the Finance Guarantee team to ensure client commitments are met by making MAC adjustments as appropriate
• Reviewing and responding to all pharmacy MAC appeals
• Working with the Legal team to respond to any MAC related complaints from state agencies
• Monitoring pharmacy GER guarantees and making MAC adjustments as needed
• Responsible for all MAC related reporting, including client and pharmacy reports

Qualifications

• 2–5 years of experience in:
• Pharmacy benefit management (PBM)
• Pharmaceutical pricing or reimbursement
• Healthcare compliance or regulatory affairs
• Data analysis or financial modeling
• Experience with RxClaim platform (AS 400)
• Bachelor's Degree
• Associate Degree or equivalent work experience

Requirements

• 40 anticipated weekly hours
• Full-time position

Benefits

• Comprehensive and competitive mix of pay and benefits
• Medical, dental, and vision coverage
• Paid time off
• Retirement savings options
• Wellness programs and other resources, based on eligibility

Pay Range

The typical pay range for this role is: $21.10 - $49.08. 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.

Company Description

Our people fuel our future. Our teams reflect the customers, patients, members, and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.