ConsultantBusConfig Novologix

Job Description
The Business Configuration Consultant works alongside the Business and Clinical Configuration Teams to support implementation and maintenance of clients within CVS Health's Medical Claims and Prior Authorization platform (Novologix). The position works closely with these teams to manage scheduled and ad hoc projects. The Business Configuration Consultant will be responsible for the implementation and maintenance of drug and fee schedule databases and assists with drug pricing calculations and system loads.

Required Qualifications
• BA/BS in mathematics, statistics, health care management, business, economics, finance or related field OR equivalent years of experience required
• Strong computer skills: MS Excel, MS Access, able to code in SQL, Oracle, or MySQL required (SQL preferred); able to code in SAS, Python or R (preferred)
• 5+ years of MS Office experience
• Strong verbal and written communication skills
• 5+ years demonstrated ability to work independently and manage multiple projects and prioritize and delegate deliverables in a timely fashion
• Change agile; willing and able to adjust individual and team direction based upon changing priorities and business need
• Ability to think critically, problem solve and make decisions while anticipating the broad impact of decisions
• Working knowledge of VBA, HTML, and XML required.

COVID Requirements
COVID-19 Vaccination Requirement
CVS Health requires its Colleagues in certain positions to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, pregnancy, or religious belief that prevents them from being vaccinated.
  • If you are vaccinated, you are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status within the first 30 days of your employment. For the two COVID-19 shot regimen, you will be required to provide proof of your second COVID-19 shot within the first 60 days of your employment. Failure to provide timely proof of your COVID-19 vaccination status will result in the termination of your employment with CVS Health.
  • If you are unable to be fully vaccinated due to disability, medical condition, pregnancy, or religious belief, you will be required to apply for a reasonable accommodation within the first 30 days of your employment in order to remain employed with CVS Health. As a part of this process, you will be required to provide information or documentation about the reason you cannot be vaccinated. If your request for an accommodation is not approved, then your employment may be terminated.

Preferred Qualifications
5+ years working within an IT or Healthcare environment preferred
• Medical prior authorization, claims, and/or pharmacy experience preferred

• BA/BS in mathematics, statistics, health care management, business, economics, finance or related field OR equivalent years of experience required

Business Overview
At CVS Health, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.

We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, sex/gender, sexual orientation, gender identity or expression, age, disability or protected veteran status or on any other basis or characteristic prohibited by applicable federal, state, or local law. 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.