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Eligibility Data Analyst

https://www.cvshealth.com/ Logo

CVS Health

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Location:
United States, Work At Home

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Category:
Customer Service

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Contract Type:
Employment contract

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Salary:

43888.00 - 85068.00 USD / Year
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Job Description:

CVS/Caremark, the Pharmacy Benefit Management division of CVS Health, is seeking an Eligibility Data Analyst to join the Eligibility Administration Department. The role involves providing strategic leadership for client and vendor eligibility data exchange, acting as a liaison between clients, vendors, and IT departments to shape business requirements and approve programming specifications.

Job Responsibility:

  • Provide strategic oversight and direction for client and vendor eligibility data exchange functions and services
  • Act as a key liaison between clients, vendors, and the PSS IT department
  • Drive and manage projects with eligibility impacts including vendor changes and new client implementations
  • Supervise the validation and confirmation of data feeds from clients to maintain system integrity
  • Serve as a bridge between clients, vendors, and the PSS IT department to define business requirements
  • Ensure the accurate and timely loading of eligibility data

Requirements:

  • Minimum of 2 years of experience in PBM or Health Plan eligibility
  • Experience in a client-facing role in a fast-paced environment
  • Demonstrated expertise in aligning key PBM concepts and data fields across diverse systems and file formats
  • Proven track record of effectively executing, testing, and maintaining critical operational tasks
  • MS Office (Word, Excel, Access DB, Info Path)
  • High School Diploma or GED required

Nice to have:

  • Experience with using SQL, Excel, Access Database and other technical data skills
  • Proficiency with EDI 834
  • Self-motivated individual with a keen eye for detail and a knack for solving complex problems
  • Capable of managing multiple competing priorities in a dynamic environment
  • Excellent communication skills, time and project management, problem solving, analytical skills
  • Bachelor's Degree preferred
What we offer:
  • Affordable medical plan options
  • 401(k) plan with matching company contributions
  • Employee stock purchase plan
  • Wellness screenings
  • Tobacco cessation and weight management programs
  • Confidential counseling and financial coaching
  • Paid time off
  • Flexible work schedules
  • Family leave
  • Dependent care resources
  • Colleague assistance programs
  • Tuition assistance
  • Retiree medical access

Additional Information:

Job Posted:
August 29, 2025

Expiration:
August 29, 2025

Employment Type:
Fulltime
Work Type:
Remote work
Job Link Share:
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