Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.
Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.
As a Sr. Analyst you will have the opportunity to develop strong relationships with our Employer Group Waiver Plan (EGWP) clients, while assisting these entities with enrollment and eligibility needs for their Medicare Part D (Med D) member populations. As the Sr. Analyst, you will maintain a solid understanding and continual working knowledge of Medicare Guidelines, EDI protocols, and the enrollment processes that directly impact member enrollment. The Sr. Analyst will contribute to assisting and managing special projects, new client implementations, re-implementations, and/or automation efforts.
As a Senior Analyst, your success will be driven by exceeding client satisfaction. Using a consultative approach across specific PBM and other Operations as needed to define problems, lead process improvement efforts, and ultimately manage process change with business stakeholders to ensure our internal and external customer needs are being met. The ability to influence and deliver results for our clients will be a key factor to your success in this role.
The roles and responsibilities of the Sr. Analyst include, but are not limited to, the following:
- Manage client enrollment implementations and project plans within department expectations to execute timely and successful deployment efforts
- Facilitate and document internal and client/vendor meetings, while presenting status updates and making critical decisions associated with to client projects and implementations
- Gather and interpret technical requirements for coordination of client file mapping and other critical implementation activities
- Clearly communicate with and influence clients on strategic enrollment practices in order to ensure successful implementation and future management of the plan by the client
- Develop and maintain strong working relationships with clients, vendors, and internal partners
- Lead and perform activities to service clients with immediate resolution of client inquiries
- Research and formulate solutions for both routine and complex enrollment issues
- Manage internal and client/vendor enrollment issue escalations, along with Welcome Season activities
- Provide mentorship and guidance to other Analysts levels to assist with CMS guidance interpretation, complex client issues, questions, technical training, inquires and/or escalations
- Lead mid-to-large-scale operational projects, including new client implementations that require management of multiple project phases from end-to-end
- Facilitate inter-departmental process reviews/training to achieve successful outcomes
- Drive and deliver results timely and accurately in a finished form, with minimal supervision
- Create and/or update client documentation, policies and procedures
*Required Qualifications
- 2+ years of Healthcare, PBM, or insurance experience
- Prior experience in Medicare Part-D plan administration or operations, or with EGWP plans
- 2+ years of prior experience with MS Excel, including some experience utilizing VLookup tables or Pivot Tables
- 1+ years of business experience in client-facing relations or account management
- 1+ years of developing business requirements and/or translating client requirements into business documentation
- Excellent interpersonal, written and verbal communication skills, and keen ability to consultatively influence others in order to gain buy-in from clients on the most optimal solutions
- Highly effective presentation skills, both over the phone and in-person
- Must demonstrate strong analytical abilities, strategic thinking skills, and technical aptitude, with the drive to learn and grow technical subject-matter expertise
- Ability to make sound business decisions based on instructions, policy and procedures
- Demonstrated success dealing with ambiguity, and ability to learn on-the-fly to understand and solve problems
- Highest level of attention to detail and the ability to manage multiple projects simultaneously, adjusting priorities as needed and meeting deadlines
*Preferred Qualifications
- Prior experience utilizing Secure File Transfer Portal (SFTP), Electronic Data Interchange (EDI) formats and file transfer protocols
- Prior experience using MS PowerPoint and Visio
We support a hybrid work environment. If selected and you live near a suitable work location, you may be expected to comply with the hybrid work policy. Under the policy, all hires for in scope populations should be placed into a hybrid or office-based location, working onsite three days a week.
*Education
- High School Diploma or GED Required
- Bachelor Degree Strongly preferred
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$46,988.00 - $112,200.00
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.
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.
For more detailed information on available benefits, please visit Benefits | CVS Health
We anticipate the application window for this opening will close on: 02/28/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Top Skills
What We Do
CVS Health is the leading health solutions company that delivers care in ways no one else can. We reach people in more ways and improve the health of communities across America through our local presence, digital channels and our nearly 300,000 dedicated colleagues – including more than 40,000 physicians, pharmacists, nurses and nurse practitioners.
Wherever and whenever people need us, we help them with their health – whether that’s managing chronic diseases, staying compliant with their medications, or accessing affordable health and wellness services in the most convenient ways. We help people navigate the health care system – and their personal health care – by improving access, lowering costs and being a trusted partner for every meaningful moment of health. And we do it all with heart, each and every day.
