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CVS Health Credentialing Specialist in Scottsdale, Arizona

Job Description

The Credentialing Analyst position is responsible for the oversight and administration of the pharmacy re-credentialing activities. The functions of this position provide management with assurance that the re-credentialing program for pharmacy network providers aligns with business requirements. Specifically, this position supports compliance with the delegated credentialing responsibilities of our Managed Medicaid clients in accordance with Title 42 of the Code of Federal Regulations, Chapter IV Medicare & Medicaid Services, Department of Health & Human Services, Subchapter C, Part 455, Subpart B and E. This position has heavy emphasis on data management and reporting.

To be successful in this role you will update, test, and maintain the re-credentialing survey questionnaire software tool as well as interface with internal partners to assess, develop, and redefine data integrity of the survey to meet our business requirements. You will also communicate timely and accurate delivery of survey to the pharmacy community.

Other responsibilities can include monitoring survey response progress, respond to pharmacy questions, provide pharmacies with technical support and troubleshooting.

Required Qualifications

2+ years working experience in Advanced level Microsoft Office – specifically MS Excel

Preferred Qualifications

Advanced level in Microsoft Office - Excel, Access, Word.

SQL Management Studio

Education

Bachelor Degree is required

Business Overview

At CVS Health, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.

We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, sex/gender, sexual orientation, gender identity or expression, age, disability or protected veteran status or on any other basis or characteristic prohibited 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.

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