Membership Operations Analyst, CVS Health

CVS Health

Location:
United States, Work At Home, Arizona

Category:
-

Contract Type:
Employment contract

Salary:

43888.00 - 85068.00 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:

Managing a book of business and representing the Integrated Accumulations Department for CVS/Caremark when working with the assigned Medical Partners/Vendors
Overseeing the transactions shared between the Medical Partner and CVS/Caremark
Resolving transaction errors either internally or with the help of the Medical Partner
Investigating and researching the source of the error and correcting it by using the Department’s standard processes and tools
Partnering across work streams with other internal resources to ensure the errors are corrected in a timely and efficient manner
Representing Integrated Accumulations on cross-functional work teams to resolve specific client issues
Meeting operational metrics and providing results for their book of business to the department leadership
Implementing service for new clients with existing Medical Partners
Working with cross-functional Implementation teams to setup and configure the sharing of transactions within the project plan timeline

Requirements:

1+ years of related professional work experience
At least 1 year of experience managing a collaborative relationship, either with internal or external partners
1 or more years of experience using data to solve problems and/or process issues
1 or more years of advanced Microsoft Excel experience

Nice to have:

Strong attention to details and ability to find root cause of issues
Ability to analyze and provide resolution to routine business and process issues
Ability to collaborate and partner with teams across the PBM and medical partners to guide resolution to issues and requests
Ability to operate effectively in a large, complex, and diverse organization
Skilled in focusing on desired results, determining and prioritizing what is important and urgent, clarifying next steps, and escalating issues effectively to meet deadlines and achieve desired results
Ability to adhere to the highest ethical standards including honesty, integrity, dedication
Ability to use Microsoft Suite of products including Word, PowerPoint, Excel, SharePoint, Visio, Project, etc
Experience with health care, pharmacy benefit management, integrated accumulations, a plus
Operate in a highly complex, matrix, and fast changing environment
Work directly with internal partners at all levels (may include benefits, testing, account management, etc)
Ability to prioritize work, execute work assignments to ensure deadlines are met, and identify when deliverables are at risk of not being met
Support and adapt to organizational change when required

What we offer:

Affordable medical plan options
401(k) plan (including matching company contributions)
Employee stock purchase plan
No-cost programs for all colleagues including 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 06, 2025

Expiration:
August 29, 2025

Employment Type:

Fulltime

Work Type:

Remote work

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Membership Operations Analyst