Business Compliance Manager (IC)
Company: CVS Pharmacy
Location: Harrisburg
Posted on: January 26, 2023
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Job Description:
Job DescriptionFully remote. Standard business hours
Monday-Friday-Analyzes complex clinical data for trends, highlights
in-depth interpretations and provides in-depth root cause
analysis.-Develops and implements quality
assessment/audit/measurement programs tailored to specific
assignments.-May lead or act as a business technical expert in the
design of new applications or enhancements and with the planning,
development and validation of master or detail test plans and
strategies including integration of solutions.-Completes Quality
Improvement studies as they relate to trends identified via audits
and review of pertinent information. -Performs high level risk
assessments and presents to management. -Maintains all appropriate
documentation. -Performs analysis and oversight for delegated
functions.-Performs other duties as required.Pay RangeThe typical
pay range for this role is:Minimum: 60,300Maximum: 126,600Please
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-An active and good
standing Registered Nurse (RN) in state of residence -2+ years of
Medicare experience-One of the following is required: CRC or
CPCCOVID RequirementsCOVID-19 Vaccination RequirementCVS Health
requires certain colleagues to be fully vaccinated against COVID-19
(including any booster shots if required), where allowable under
the law, unless they are approved for a reasonable accommodation
based on disability, medical condition, religious belief, or other
legally recognized reasons that prevents them from being
vaccinated. You are required to have received at least one COVID-19
shot prior to your first day of employment and to provide proof of
your vaccination status or apply for a reasonable accommodation
within the first 10 days of your employment. Please note that in
some states and roles, you may be required to provide proof of full
vaccination or an approved reasonable accommodation before you can
begin to actively work.Preferred Qualifications-Previous coding
education experience with provider offices -Knowledge of Medicare
risk adjustmentEducationRegistered Nurse, certified coderBusiness
OverviewBring your heart to CVS HealthEvery 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.
Keywords: CVS Pharmacy, Harrisburg , Business Compliance Manager (IC), Executive , Harrisburg, Pennsylvania
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