Prior Carrier Load 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:

Facilitates the loading of Prior Carrier Plan accumulators or HRA contributions, via electronic data files or manual entry from prior plan Explanation of Benefits (EOBs), to assure members are given prior carrier credits, applicable HRA contributions and/or to allow for Stop Loss filings.

Job Responsibility:

Facilitates the loading of Prior Carrier Plan accumulators or HRA contributions via electronic data files or manual entry
Monitors and manages internal installation process and maintains case tracking tools
Communicates revisions essential for supporting and guarding the plan against unintended liability
Reviews data files within 24 hours to determine completeness
Consults and communicates with internal constituents regarding new business and revision activity
Creates test plans and performs User Acceptance Testing (UAT)
Completes required data input into performance measurement system

Requirements:

1 year healthcare industry experience with benefits interpretation
Proficient in Excel

Nice to have:

Healthcare industry experience (Customer Service, Claims, and or Plan Build preferred)
Dos System experience
Good communication skills

What we offer:

Affordable medical plan options
401(k) plan with matching company contributions
Employee stock purchase plan
Wellness screenings
Tobacco cessation programs
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 16, 2025

Expiration:
September 26, 2025

Employment Type:

Fulltime

Work Type:

Hybrid work

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Prior Carrier Load Analyst