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Business Compliance Manager (IC)

Company: CVS Pharmacy
Location: Harrisburg
Posted on: January 26, 2023

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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