We have an exciting new opportunity in our Scottsdale, Arizona location! In this position you will work cross-functionally with internal and external partners to ensure highest quality performance within the Government Reporting team. In this Advisor position you will use critical thinking, problem solving and analytic skills to ensure compliance with Centers for Medicare and Medicaid (CMS) mandated reporting requirements and ensure best-in-class performance.
Support of internal and external partners includes:
· Lead annual review of CMS Reporting Requirements and Technical Specifications to ensure that changes are communicated to report owners and risk is identified and communicated appropriately.
· Partner with internal Client Audit team to coordinate annual CMS Data Validation audit.
· Drive audit readiness activities for all HPMS report owners and ensure successful execution of audit interviews and follow-up activities.
· Collaborate with Government Affairs and key stakeholders to create client communications and ensure timely delivery in compliance with standard service agreement requirements.
· Act as liaison between CVS Health and CMS to resolve questions or issues.
· Maintain document library to ensure optimum adherence with department standards and audit requirements.
· Collaborate with team members to identify process improvements and drive program efficiency.
Bachelor’s degree (or higher) with 3+ years of work experience with health care industry regulatory guidance or 5+ years related experience in regulatory or compliance environment.
Strong project management skills and multitasking abilities
Advanced proficiency in Microsoft Word, Excel, VBA and PowerPoint
Experience with handling privacy/confidentiality—physical and electronic security of Protected Health Information (PHI)
Can quickly identify and escalate issues in a constructive manner to the appropriate resource
Exceptional prioritization and organizational skills
Acts with integrity and uses sound judgment in dealing with confidential information
Problem solving skills with a focus on seeking new ideas, and/or approaches to solutions and process improvements
Positive, team-oriented attitude and approach to getting work done
Comfortable in both team player and team lead roles
Confident in decision making ability within strict timelines
Bachelors degree required.
CVS Health, through our unmatched breadth of service offerings, is transforming the delivery of health care services in the U.S. We are an innovative, fast-growing company guided by values that focus on teamwork, integrity and respect for our colleagues and customers. What are we looking for in our colleagues? We seek fresh ideas, new perspectives, a diversity of experiences, and a dedication to service that will help us better meet the needs of the many people and businesses that rely on us each day. As the nation’s largest pharmacy health care provider, we offer a wide range of exciting and fulfilling career opportunities across our three business units – MinuteClinic, pharmacy benefit management (PBM) and retail pharmacy. Our energetic and service-oriented colleagues work hard every day to make a positive difference in the lives of our customers.
CVS Health is an equal opportunity employer. We do not discriminate in hiring or employment against any individual on the basis of race, ethnicity, ancestry, color, religion, sex/gender (including pregnancy), national origin, sexual orientation, gender identity or expression, physical or mental disability, medical condition, age, veteran status, military status, marital status, genetic information, citizenship status, unemployment status, political affiliation, or on any other basis or characteristic prohibited by applicable federal, state or local law. CVS Health will consider qualified job candidates with criminal histories in a manner consistent with federal, state and local laws. CVS Health will not discharge or in any other manner discriminate against any Colleague or applicant for employment because such Colleague or applicant has inquired about, discussed, or disclosed the compensation of the Colleague or applicant or another Colleague or applicant. Furthermore, we comply with the laws and regulations set forth in the following EEO is the Law Poster: EEO IS THE LAW and EEO IS THE LAW SUPPLEMENT
Job ID: 725924BR