Eligibility Analyst, CVS Health

CVS Health

Location:
United States

Category:
Customer Service

Contract Type:
Not provided

Salary:

43888.00 - 93574.00 USD / Year

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Job Description:

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Job Responsibility:

Acting as a healthcare data subject matter expert on Eligibility guidelines and Electronic Data Interchange (EDI) protocol for clients
Researching and consulting to improve healthcare data integrity and ensure excellent service delivery
Constantly improving healthcare analytical skills that are needed to perform data analysis
Resolving data enrollment issues on a daily basis
Consulting on healthcare data needs
Having exceptional time management and healthcare client management skills
Continuous development training will be provided in this role to ensure the Eligibility Analyst is able to exceed client expectations in this fast-paced environment

Requirements:

1+ year(s) in healthcare data eligibility, insurance, IT, benefits, or data analytics environment with a strong ability to work independently, problem solve, and analyze data in a confidential healthcare environment
2+ years customer service experience in a fast-paced environment
Strong written and verbal communication skills
Ability to communicate with business clients and stakeholders in a professional manner

Nice to have:

3+ years experience in eligibility or other relevant background
Experience in EDI (Electronic Data Interchange)
Understanding of the PBM industry
Familiarity with RxClaim and/or AS400
Pharmacy technician or benefits verification experience

What we offer:

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

Additional Information:

Job Posted:
August 10, 2025

Expiration:
August 20, 2025

Employment Type:

Fulltime

Work Type:

Remote work

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Eligibility Analyst