CVS Health · 1 day ago
Senior Analyst, Financial Operations - PDE Reporting
United States
Full-time
Remote
Mid, Senior Level
$47K/yr - $122K/yr
3+ years expCVS Health is dedicated to building a world of health around every individual, focusing on connected and compassionate health experiences. The Senior Analyst, Financial Operations - PDE Reporting is responsible for reviewing claims and PDE errors, analyzing reports, and ensuring timely resolution of issues while coordinating with various departments and clients.
RetailHealthcarePharmaceuticalHealth CareMedicalSales
Responsibilities
Review claims and PDE (Prescription Drug Event) errors
Analyze and distribute the PDE Rejections reports and analysis to internal and external clients
Serve as liaison between the PDE Reporting Team, PDE Eligibility/Reconciliation and all entities involved directly or indirectly with PDE to ensure timely and accurate resolution of PDE Rejections
Download and review the Acumen Outliers
Coordinate the research with various departments and submit the responses to external clients or Acumen according to CMS deadlines
Assist with the weekly PDE meetings
Ensure continuous improvement of Medicare claims data through root cause and impact analysis of errors, recommendations for systems and procedure enhancements
Rely upon business knowledge, including industry concepts and practices, technical skills, and prior experience to plan and accomplish goals
Review guidance and ensure compliance with CMS
Qualification
Required
3 years minimum experience with government-regulated health programs (Medicaid, Medicare, and/or Exchanges)
Bachelor's degree preferred or equivalent work experience required
Preferred
Excellent written and verbal communication skills for interaction with clients, internal partners, and government agencies
Strong organizational skills and ability to manage multiple projects simultaneously
Excellent time management skills as these requests are time sensitive
Proficiency with Microsoft Word and Excel
Proficiency with SQL and/or Python
Benefits
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.
Company
CVS Health
CVS Health is a health solutions company that provides an integrated healthcare services to its members.
10001+ employees
Funding
Current Stage
Public CompanyTotal Funding
$4BKey Investors
Michigan Economic Development CorporationStarboard Value
2025-08-15Post Ipo Debt· $4B
2025-07-17Grant· $1.5M
2019-11-25Post Ipo Equity
Leadership Team
David Joyner
President and Chief Executive Officer, CVS Health
Chandra McMahon
SVP & CISO
Recent News
Hartford Business Journal
2026-02-12
Springfield Business Journal
2026-02-11
Company data provided by crunchbase