Senior Analyst - Business Audit - Remote

Overview

As a Senior Analyst in the Business Audit team at CVS Health, you will conduct onsite audits at pharmacies, analyze claims for fraud, waste, and abuse, and report findings to enhance the pharmacy audit process.

In Short

• Conduct claims audits at pharmacies across multiple states.
• Analyze claims for fraud, waste, and abuse trends.
• Travel approximately 70-80% of the time.
• Maintain a corporate credit card for travel expenses.
• Review prescription claims and educate pharmacies on findings.
• Work independently and manage time effectively.
• Possess valid driver's license and reliable personal vehicle.
• Utilize MS Office tools for reporting and analysis.
• Communicate effectively with pharmacy staff.
• Contribute to a culture of health and wellness at CVS Health.

Requirements

• 3+ years of professional experience in a retail pharmacy or pharmaceutical regulatory setting.
• Pharmacy Technician Licensure required.
• Ability to travel extensively, including overnight stays.
• Excellent time management and decision-making skills.
• Knowledge of CVS Health claims processing preferred.
• Strong verbal and written communication skills.
• High school diploma or GED required; Bachelor's degree preferred.
• Ability to handle difficult situations professionally.
• Experience with MS Office, especially Excel and Word.
• Self-starter mentality with independent work capabilities.

Benefits

• Comprehensive medical plan options.
• 401(k) plan with company matching contributions.
• Employee stock purchase plan.
• No-cost wellness programs and confidential counseling.
• Paid time off and flexible work schedules.
• Tuition assistance and family leave options.
• Access to dependent care resources and retiree medical options.
• Programs addressing various wellness needs.
• Career development opportunities.
• Commitment to employee recognition and sustainability.