CVS Health

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Risk Management Consultant

at CVS Health

Posted: 11/6/2018
Job Reference #: 890033BR

Job Description

Job Title :
Risk Management Consultant
Job ID :
Location :
RI - Cumberland
Street Address :
200 Highland Corporate Drive
Category :
Description :
Job Description
As the Risk Management Consultant, you are accountable for the investigation, negotiation, and resolution of non-litigated General Liability Pharmacy claims. Your responsible for the budgetary considerations in setting reserves, including bodily injury. As the Risk Management Consultant, you are required to have extensive interaction with internal departments, management, field employees, and customers to ensure timely handling and resolution of claims.

-Responsible for the administrative duties of the on-line pharmacy reporting system.
-Review incoming incident reports both written and on-line for exposure.
-Act as point person for field, Risk Management Pharmacy Team and to handle all inquiries, questions, etc. relating to pharmacy dispensing incidents.
-Identify claims and potential high exposure cases for referral to appropriate individuals within Risk Management.
-Follow-up on Customer Service complaints and pharmacy incident reports with field personnel.
-Work with field personnel to handle and resolve situations involving dispensing incidents, evaluating claims and extending settlement authority.
-Review/interpretation of medical reports to determine causal relationship and assist in evaluation of a claim.
-Evaluate and negotiate settlements with customers and/or their attorneys on behalf of CVS.
-Processing settlement releases and issuing settlement checks.

Required Qualifications
- 1+ years of experience with medical terminology and interpreting medical reports.
- 1+ years of experience with Insurance, Healthcare or Claims
- 1+ years of data entry experience
- 1+ years of experience with Microsoft Office, specifically with Outlook.

Preferred Qualifications
- Superior written and verbal communication skills.
- Exceptional analytical skills with attention to detail.
- Proven ability to handle conflict successfully.
- Ability to maintain work in strictest confidence.
- Ability to prioritize work with minimal supervision.

High School diploma or GED

Business Overview
CVS Health, through our unmatched breadth of service offerings, is transforming the delivery of health care services in the U.S. We are an innovative, fast-growing company guided by values that focus on teamwork, integrity and respect for our colleagues and customers. What are we looking for in our colleagues? We seek fresh ideas, new perspectives, a diversity of experiences, and a dedication to service that will help us better meet the needs of the many people and businesses that rely on us each day. As the nation’s largest pharmacy health care provider, we offer a wide range of exciting and fulfilling career opportunities across our three business units - MinuteClinic, pharmacy benefit management (PBM) and retail pharmacy. Our energetic and service-oriented colleagues work hard every day to make a positive difference in the lives of our customers.

CVS Health is an equal opportunity employer. We do not discriminate in hiring or employment against any individual on the basis of race, ethnicity, ancestry, color, religion, sex/gender (including pregnancy), national origin, sexual orientation, gender identity or expression, physical or mental disability, medical condition, age, veteran status, military status, marital status, genetic information, citizenship status, unemployment status, political affiliation, or on any other basis or characteristic prohibited by applicable federal, state or local law. CVS Health will consider qualified job candidates with criminal histories in a manner consistent with federal, state and local laws. CVS Health will not discharge or in any other manner discriminate against any Colleague or applicant for employment because such Colleague or applicant has inquired about, discussed, or disclosed the compensation of the Colleague or applicant or another Colleague or applicant. Furthermore, we comply with the laws and regulations set forth in the following EEO is the Law Poster: EEO IS THE LAW and EEO IS THE LAW SUPPLEMENT

Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. If you require assistance to apply for this job, please contact us by clicking Advice and Counsel

CVS Health does not require nor expect that applicants disclose their compensation history during the application, interview, and hiring process.

For inquiries related to the application process or technical issues please contact the Kenexa Helpdesk at 1-855-338-5609. For technical issues with the Virtual Job Tryout assessment, contact the Shaker Help Desk at 1-877-987-5352. Please note that we only accept resumes via our corporate website:

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!