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CVS Health

Business Analytics Associate

CVS Health

. Review and resolve pharmacy inquiries related to Non-MAC pricing, ensuring compliance with Non-MAC law requirements .

Posted 9/17/2026full-timeRemote • Arizona • United StatesJuniorMid-Level💰 $21 - $41 per hourWebsite

Core Competencies

Role fit
Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in Pharmacy Benefit Management (PBM) with a focus on Non-MAC pricing compliance, claims adjudication, and regulatory inquiries. Proficient in utilizing tools such as RxClaim and Excel to support pricing validation and problem-solving in a fast-paced environment.

Highest-signal resume keywords
Pharmacy Benefit Management (PBM) ExperienceRxClaim Platform (AS400)Claims Adjudication LogicStrong Mathematical Problem-Solving SkillsBachelor’s Degree

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills
Non-MAC Pricing ComplianceClaims AdjudicationPricing ValidationRegulatory ResearchIT System Testing
Soft Skills
Ability to Work Under Tight DeadlinesTraining Support
Tools & Technologies
ExcelWordSalesforcePharmacy PortalMedispan
Industry Keywords
Non-MAC Law RequirementsMarketplace ConditionsDepartment of Insurance InquiriesWholesaler Invoices

About the role

Key responsibilities & impact
  • Review and resolve pharmacy inquiries related to Non-MAC pricing, ensuring compliance with Non-MAC law requirements
  • Validate pricing and product information using trusted sources such as Medispan and wholesaler information
  • Identify changes in marketplace conditions and escalate potential issues to leadership
  • Assist Non-MAC team contractors by answering questions and providing training support
  • Monitor and perform testing activities related to IT system implementations as needed
  • Research and respond to Department of Insurance inquiries with accurate and timely information for state regulators
  • Assist management with ad hoc tasks and special projects

Requirements

What you’ll need
  • Pharmacy Benefit Management (PBM) experience with all non-MAC appeal related processes, state regulations, and claims adjudication, including claims adjudication logic
  • Experience with RxClaim platform (AS400)
  • Bachelor’s Degree required
  • Proficient in Excel, Word, Salesforce, and Pharmacy Portal
  • Ability to work under tight deadlines
  • Strong mathematical problem-solving skills
  • Familiarity with wholesaler invoices

Benefits

Comp & perks
  • CVS Health bonus, commission or short-term incentive program in addition to base pay
  • Medical coverage
  • Dental coverage
  • Vision coverage
  • Paid time off
  • Retirement savings options
  • Wellness programs
  • Other resources supporting physical, emotional, and financial well-being, based on eligibility