Third Party Audit Coordinator

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Position Summary
The Third Party Audit Coordinator will support the Third Party Audit team with various administrative, scheduling and maintenance projects, along with responding to audit requests. This position requires a person with strong communication skills, both written and oral. The candidate should also have solid organizational, interpersonal and time management skills with the ability to work under pressure with minimal supervision, demonstrating excellent decision-making skills.

In addition, the Third Party Audit Coordinator will maintain the following primary responsibilities:

• Maintain, track, and log incoming audit correspondences via email, fax, and mail
• Perform accurate and timely data entry and data movement into internal reporting tools and databases.
• Execute timely resolution to requests received from internal departments, audit entities, regulatory agencies, and management.
• Coordinate onsite audit scheduling between audit entities and pharmacy store teams
• Take prompt action to review, diagnose and understand new audits, ad-hoc requests, and systemic improvements.
• Closely monitor current processes to maximize efficiency and make recommendations to the leadership team to drive process improvement and influence downstream financial results for the Third Party Department
• Facilitate audit activities by providing timely and accurate documentation to support the administration of prescription claims to the PBM or Plan in accordance with HIPAA and audit client requirements.
• Assist pharmacy staff and field leadership to resolve and complete audit requests and inquiries.
• Promotes a cooperative and respective relationship with other personnel, entities or agencies while always maintaining professionalism
• Ability to digest shifts in work assignments to account for seasonal workload changes or unforeseen events impacting daily workload

Required Qualifications

• 1 or more years of MS Office experience
• 1 or more years of professional work experience, preferably in a corporate healthcare or pharmacy setting

Preferred Qualifications

• Pharmacy experience
• Ability to complete routinely assigned work based on productivity standards (SLA) with minimal supervision
• Previous experience with automation tools and/or Excel Macros

Education

• Verifiable High School diploma or GED is required

Anticipated Weekly Hours

Time Type

Pay Range

The typical pay range for this role is:

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.  The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.  This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. 
 

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.

• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.

• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

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Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.