Senior Analyst, Financial Operations - PDE Reporting
At a glance
Senior FP&A role at Cvshealth. Remote, United States · full-time · $46,988–$112,200 base.
financeroles summary, based on the employer's posting.
What you'll do
- Review claims and Prescription Drug Event errors, then analyze rejection reports and share findings with internal and external clients
- Coordinate rejection follow-up across PDE teams and related parties so errors are resolved accurately and on time
- Check Acumen outliers, organize research across departments, and send responses by CMS deadlines
- Trace error causes and effects, recommend system or process changes, and support weekly PDE meetings
- Review CMS guidance and apply it to compliant PDE reporting
What you bring
- At least three years in financial operations for a government-regulated health program, or related experience
- Working knowledge of Part D plans and the ability to interpret CMS guidance correctly
- A bachelor's degree or equivalent work experience
- You can communicate clearly with clients, internal teams, and government agencies while managing time-sensitive work
Who this fits
This full-time remote U.S. role suits someone experienced with regulated health-program operations and comfortable coordinating time-sensitive reporting across teams. You’ll work with CMS guidance, claims data, and PDE rejection research.
From the employer
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.
Position Summary
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. Download and review the Acumen Outliers. Coordinate the research with various departments and submit the responses to external clients or Acumen according to CMS deadlines. Assist with the weekly PDE meetings. Ensure continuous improvement of Medicare claims data through root cause and impact analysis of errors, recommendations for systems and procedure enhancements. The position will rely upon business knowledge, including industry concepts and practices, technical skills, and prior experience to plan and accomplish goals. Candidate should have working knowledge of Part D plans and be able to study and correctly interpret CMS Guidance. This position is also responsible for review of guidance and being compliant with CMS
Required Qualifications
- 3 years minimum experience with government-regulated health programs within financial operations and/or related experience (Medicaid, Medicare, and/or Exchanges).
Preferred Qualifications
- Excellent written and verbal communication skills for interaction with clients, internal partners, and government agencies.
- Strong organizational skills and ability to manage multiple projects simultaneously.
- Excellent time management skills as these requests are time sensitive.
- Proficiency with Microsoft Word and Excel.
- Proficiency with SQL and/or Python.
Education
- Bachelor's degree preferred or equivalent work experience required
Anticipated Weekly Hours
40Time Type
Full timePay Range
The typical pay range for this role is:
$46,988.00 - $112,200.00This 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.
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.
Great benefits for great people
We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
Additional details about available benefits are provided during the application process and on Benefits Moments.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
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