1+ months

Payor Contract Coordinator

CVS Caremark
Monroeville, PA 15146
**Job Description**

As a Payor Contract Coordinator, you will be responsible for all Payor contract creation and maintenance in support of accurate billing and collections. Your is critical to ensure a smooth flow of payment to payors that allows CVS Health to quickly dispense and bill for thousands of medications that are vital to the health of our patients.


Our Payor Coordinators process and coordinate contract requirements and re-certifications both internally and externally with Payors and other authorized Agents. You will also be responsible for Monitoring Payor reimbursement data in multiple systems and reports to ensure compliance with expected pricing, reimbursement rates in support of accurate billing and collections and contract/payor agreement compliance. Your role serves as a critical point of contact for healthcare billing and reimbursement operations; you will routinely interface with multiple internal groups, including medical billers and coders, pharmacy technicians, and contract sales associates.


**Required Qualifications**

- 18+ months experience with healthcare experience or direct experience working for CVS Specialty Reimbursement Payor Relations

- 12+ months working with Microsoft Office, specifically Excel, Outlook and Word


**Preferred Qualifications**

Work independently

Strong problem solving skills

Ability to prioritize

Ability to meet deadlines


**Education**

High School Diploma or GED


**Business Overview**

**Its a new day in health care.**


Combining CVS Health and Aetna was a transformative moment for our company and our industry, establishing CVS Health as the nations premier health innovation company. Through our health services, insurance plans and community pharmacists, were pioneering a bold new approach to total health. As a CVS Health colleague, youll be at the center of it all.


We offer a diverse work experience that empowers colleagues for career success. In addition to skill and experience, we also seek to attract and retain colleagues whose beliefs and behaviors are in alignment with our core values of collaboration, innovation, caring, integrity and accountability.


CVS Health is an equal opportunity/affirmative action employer. Gender/Ethnicity/Disability/Protected Veteran we highly value and are committed to all forms of diversity in the workplace. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities. We comply with the laws and regulations set forth in the following EEO is the Law Poster: EEO IS THE LAW at https://www.dol.gov/ofccp/regs/compliance/posters/pdf/eeopost.pdf and EEO IS THE LAW SUPPLEMENT at https://www.dol.gov/ofccp/regs/compliance/posters/ofccpost.htm . We provide reasonable accommodations to qualified individuals with disabilities. If you require assistance to apply for this job, please contact our Advice and Counsel Reasonable Accommodations team at mailto:AdviceCounsel@cvshealth.com . Please note that we only accept applications for employment via this site.


If technical issues are preventing you from applying to a position, contact Kenexa Helpdesk at 1-855-338-5609 or cvshealthsupport@us.ibm.com . For technical issues with the Virtual Job Tryout assessment, contact the Shaker Help Desk at 1-877-987-5352.

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Posted: 2019-12-09 Expires: 2020-02-08

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Payor Contract Coordinator

CVS Caremark
Monroeville, PA 15146

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