Third Party Audit Coordinator
CVS Pharmacy - Cumberland, RI
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Job DescriptionThe Third Party Audit Associate will support the Third party Audit team with various administrative, scheduling and maintenance projects, along with responding to audit requests. This position requires a person with strong communication skills, both written and oral. The candidate should have solid organizational, interpersonal and time management skills. In addition the Third party Audit Associate will maintain the following principle responsibilities: Coordinate audit scheduling between audit payers, firms and store teams. Maintain, track and log incoming audit correspondences via email, fax and mail Identify opportunities for process improvement and make recommendations to leadership team Perform timely resolution to requests received from internal departments and management.Perform many different audits while assisting pharmacy staff and field management to resolve and complete audit requests and inquiries. Closely monitor current processes and SOP's to maximize efficiency and drive innovation. Ability to digest shifts in work assignments to account for seasonal workload shift or unforeseen events impacting daily workload Provide timely and accurate documentation to support the administration of prescription claims to the PBM or Plan in accordance with HIPAA and audit client requirements. Coordinate audit activities with audit clients and interact with store support and management staff while maintaining departmental goals, policies and initiatives. Perform accurate and timely data entry and data movement into internal reporting tools and databases. Take prompt action to review, diagnose and understand new audits, ad-hoc requests and systemic improvements. Communicate with audit payers, firms and internal departments on audit activities & observations Perform timely resolution to requests received from internal departments, customers, audit entities, or regulatory agencies. Promotes a cooperative and respective relationship with other personnel, entities or agencies while maintaining professionalism at all times Motivated to identify ways to improve audit process and results influencing downstream financial results for Third Party Department Ability to work under pressure with minimal supervision and demonstrates excellent decision making skills Demonstrates professional growth through independent study, training, and certificate opportunitiesRequired Qualifications1 or more years of professional work experience, preferably in a corporate healthcare or pharmacy setting1 or more years of MS Office experienceCOVID RequirementsCOVID-19 Vaccination RequirementCVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated. You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.Preferred Qualifications- Pharmacy experience- Ability to complete routinely assigned work based on productivity standards (SLA) with minimal supervisionEducationVerifiable High School diploma or GED is required.Business OverviewBring your heart to CVS HealthEvery 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. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
Created: 2024-09-07