Business Audit - Senior Analyst

As a Business Audit - Senior Analyst at CVS Health, your main responsibilities will include conducting claims audits at pharmacies, analyzing trends related to fraud, waste, and abuse, and reporting your findings to the corporate office. You'll also be responsible for educating pharmacy personnel about the audit results to ensure compliance and enhance understanding.

To qualify for the Business Audit - Senior Analyst position at CVS Health, candidates should have at least 3 years of professional experience, preferably in a retail pharmacy setting. A valid Pharmacy Technician Licensure and a strong understanding of pharmacy operations are also required. Excellent time management skills and the ability to travel approximately 70% of the time are crucial.

Yes, travel is mandatory for the Business Audit - Senior Analyst role at CVS Health. You will need to travel onsite approximately 70% of the time, which includes flights and overnight stays. This travel allows you to conduct audits at various pharmacy locations across multiple states.

Preferred skills for applicants of the Business Audit - Senior Analyst position at CVS Health include excellent communication skills, the ability to work independently, and strong time management abilities. Knowledge of claims processing and experience with Microsoft Office are also advantageous.

A Business Audit - Senior Analyst at CVS Health can expect a comprehensive mix of benefits, including affordable medical plans, a 401(k) with company matching, and stock purchase options. Additional benefits include flexibility in work schedules, paid time off, and access to various wellness programs.

In handling difficult situations, I prioritize clear communication and active listening to fully understand the context. I approach challenges with a problem-solving mindset, leveraging my analytical skills to find suitable solutions while maintaining professionalism.

I have extensive experience working within pharmacy regulations, having spent over three years in a retail pharmacy setting where I ensured compliance with local, state, and federal regulations. I keep updated on changes in pharmacy laws, which equips me to effectively manage audits.

My experience in claims auditing involves analyzing prescription claims, identifying discrepancies, and documenting findings in a clear and concise manner. I take pride in using my findings not only to report issues but also to educate pharmacy staff on best practices.

I utilize strong organizational skills and planning tools to prioritize my audits effectively. I break down tasks by urgency and importance, ensuring that I allocate adequate time to each audit while being adaptable to unexpected changes.

I frequently utilize Microsoft Excel for data analysis due to its powerful functions for handling large data sets. Additionally, I use reporting tools to present my findings clearly to stakeholders, ensuring that all data is actionable and easy to interpret.

I am enthusiastic about working at CVS Health because of its commitment to community health. I admire how CVS Health leverages innovative solutions to transform health care, and I believe my skills in auditing and compliance would contribute significantly to such a mission.

I ensure compliance by rigorously following established guidelines and regulations, conducting thorough audits, and documenting every step of the process. I also make it a point to provide ongoing education for pharmacy staff about compliance requirements.

Anticipating challenges such as varying state regulations or discrepancies in data can be complex. However, I view these as opportunities for professional growth. I am proactive in developing strategies to manage such challenges effectively.

My communication style is clear, direct, and empathetic. I believe in fostering an open dialogue, particularly when discussing sensitive findings with pharmacy staff to promote understanding and encourage compliance.

I utilize project management tools and create checklists tailored to each audit's specifics. This helps me keep track of tasks, deadlines, and findings, allowing for a systematic approach to the auditing process.