Legal Analyst Compliance
Location: Woonsocket, Rhode Island
Description: CVS Caremark is in need of Legal Analyst Compliance right now, this vacancy will be situated in Rhode Island. For complete informations about this vacancy opportunity kindly read the description below. The position will work closely with the Technology, Legal and Compliance Departments to research, summarize and interpret claims adjudication issues that are undergoing legal, regulatory or compliance reviews. The position will be actively involved in the remediation of potential audit risks and will partner with applicable stakeholders in the corrective action process. Furthermore, the Litigation Analyst will take a proactive approach in the identification of potential liability issues by leveraging knowledge of RxConnect and pharmacy transaction standards (e.g. NCPDP).
- Research and summarize litigation issues related to pharmacy claim adjudication
- Provide solutions and alternatives for pharmacy claim adjudication issues
- Summarize and communicate findings to internal and external stakeholders
- Interrogate pharmacy transactions focusing on potential areas of future litigation risk
- Diagnose and address data inconsistencies within pharmacy transactions
- Bachelor Degree
- 5 to 8 years experience
- Experience & technical understanding of pharmacy claims processing, contracting & the NCPDP standard
- Ability to digest large amounts of data and summarize in a manner that can be easily understood
- Understanding of Microstrategy and how data is associated within DW tables
- High level of competency with Word, Excel & Access
- Excellent oral & written communication skills
- Proven ability to work with a variety of personnel with varying degrees of technical skills
- Ability to analyze attorneys needs, provide information and suggest potential system solutions to meet those needs
- Professionalism & attention to detail
- Can work independently and as a team
- SQL and/or database development skills are a plus
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If you were eligible to this vacancy, please email us your resume, with salary requirements and a resume to CVS Caremark.
Interested on this vacancy, just click on the Apply button, you will be redirected to the official website
This vacancy will be started on: Fri, 07 Sep 2012 13:23:35 GMT
Apply Legal Analyst Compliance Here