Senior Consultant
Company: CVS Pharmacy
Location: Hartford
Posted on: January 24, 2023
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Job Description:
Search by job title, category, or Military MOS code Job ID:
2333681BR
Category:Aetna
Address: 151 Farmington Ave
Location: Hartford, CTJob Description
Reporting to the Lead Director of ACA Revenue Integrity, the
Sr.Consultant, will work closely with various RI Lead Directors and
subject matter experts across the ACA Individual (IFP) business to
establish and champion market level revenue integrity excellence.
This position is responsible for supporting all assigned market
level risk adjustment activities and processes related to complete
and accurate diagnosis capture through provider and member
engagement. In support of the RI Lead Directors and the Executive
Director this position will:
--- Create and maintain assigned market and provider specific
reporting and presentation materials.
--- Conduct follow-up action items on market and provider specific
action items.
--- Facilitate and coordinate with team analyst on month over month
member specific reporting metrics.
--- Assemble data to produce ACA dashboard reporting specific to
ACA-IFP Revenue Integrity efforts for various governance, market,
and executive leadership meetings.
--- Generate related presentation materials from dashboards with
analysis of current state and opportunities
--- Work closely with the Informatics team, team project manager,
and team analyst to identify and implement data and ACA RAD
enhancements as well as resolve issues.
--- Facilitate RI Chart Retrospective and RADV chart retrieval
annual escalation process
--- Generate/maintain other reporting as required
--- Support other RI ACA initiatives as requiredPay Range
The typical pay range for this role is:
Minimum: 60,300
Maximum: 130,000Please keep in mind that this range represents the
pay range for all positions in the job grade within which this
position falls. The actual salary offer will take into account a
wide range of factors, including location.Required
Qualifications
--- Bachelor's degree
--- 5-7 years of experience in healthcare
--- Proven ability to manage multiple projects simultaneously and
meet deadlines
--- Strong analytical and problem-solving skills
--- Excellent communication, presentation, and writing skills
--- Highly organized with excellent attention to detailPreferred
Qualifications
--- Experience with Medicare or ACA risk adjustment
--- Familiarity with project management software, such as Microsoft
ProjectEducation
Bachelor's degree
--- 5-7 years of experience in healthcareBusiness Overview
Bring your heart to CVS Health Every 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. We proudly support and encourage people with military
experience (active, veterans, reservists and National Guard) as
well as military spouses to apply for CVS Health job
opportunities.
Apply
Keywords: CVS Pharmacy, Hartford , Senior Consultant, Professions , Hartford, Connecticut
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