PA Data Management Analyst, CVS Health

CVS Health

Location:
United States, Rhode Island

Category:
Customer Service

Contract Type:
Employment contract

Salary:

43888.00 - 93574.00 USD / Year

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Job Description:

PA Data Management Analyst role supporting and optimizing PA operations through data-driven insights and process improvements. Works collaboratively across teams to manage PA data flows, support client implementations, and contribute to the development of scalable, automated solutions that enhance quality and reduce risk.

Job Responsibility:

Manage and maintain PA-related data flows, ensuring accuracy, consistency, and alignment with upstream and downstream systems
Support the development and enhancement of internal tools and processes to improve data quality and operational efficiency
Analyze large datasets to identify trends, anomalies, and opportunities for process improvement
Collaborate with cross-functional teams to support client implementations, plan design changes, and formulary updates
Participate in testing and validation efforts for PA configuration and data transition activities
Assist in documenting business requirements and operational procedures related to PA data management
Contribute to the creation and refinement of training materials and knowledge resources for internal stakeholders
Support ongoing initiatives aimed at automation, scalability, and proactive risk mitigation within PA operations
Support Clinical Adjudication PA Support Team with general case work as and when needed

Requirements:

Self-motivated with a strong, positive attitude and a proactive approach to problem-solving
Excellent communication and organizational skills
able to articulate complex technical concepts to non-technical audiences
2+ years of experience analyzing large data sets to identify trends, opportunities, and support initiatives
Proficiency in Transact-SQL
Proficiency in VB
Proficiency in C#
Software proficiency in Visual Studio
Software proficiency in SQL Server Management Studio
Software proficiency in Microsoft Office Suite (Word, PowerPoint, Excel, Outlook, Access)

Nice to have:

Experience with RxClaim, specifically adjudication related to Prior Authorization overrides
Knowledge of CVS Caremark clinical programs, including formularies and utilization management
Familiarity with various lines of business: Commercial, Medicare, Medicaid, Health Exchanges
Experience in developing or improving training materials for technical and clinical audiences

What we offer:

Affordable medical plan options
401(k) plan with matching company contributions
Employee stock purchase plan
No-cost wellness screenings
No-cost tobacco cessation programs
No-cost weight management programs
Confidential counseling
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:
September 20, 2025

Expiration:
October 20, 2025

Employment Type:

Fulltime

Work Type:

Remote work

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PA Data Management Analyst