Membership Operations Analyst

CVS Health

  • Arizona
  • $43,888-85,068 per year
  • Permanent
  • Full-time
  • 13 hours ago
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.Position SummaryThis position will be responsible for managing a book of business and representing the Integrated Accumulations Department for CVS/Caremark when working with the assigned Medical Partners/Vendors. This Analyst will be accountable for interactions with that the assigned medical partner/vendor. This Analyst will be responsible for overseeing the transactions shared between the Medical Partner and CVS/Caremark.. When there are transaction errors, this Consultant will be responsible for resolving those errors either internally or with the help of the Medical Partner. In resolving the transaction errors, this Analyst will be required to investigate and research the source of the error and correct it by using the Department’s standard processes and tools. It may also require the Analyst to partner across work streams with other internal resources to ensure the errors are corrected in a timely and efficient manner. This may include representing Integrated Accumulations on cross-functional work teams to resolve specific client issues.This Analyst will be responsible for meeting operational metrics and providing results for their book of business to the department leadership. Lastly this Analyst will be responsible for implementing service for new clients with existing Medical Partners. This will require the Analyst to work with cross-functional Implementation teams to setup and configure the sharing of transactions within the project plan timeline.A successful candidate will possess broad business acumen, strong relationship building and relationship management skills, tenacity to find root cause in any problem, and strong independent work management skills. Outstanding written and oral communication skills are essential, A successful candidate will need to be confident working independently, or within a team, in a dynamic and highly complex environment.Required Qualifications
1. 1+ years of related professional work experience
2. At least 1 year of experience managing a collaborative relationship, either with internal or external partners.
3. 1 or more years of experience using data to solve problems and/or process issues
4. 1 or more years of advanced Microsoft Excel experience.Preferred Qualifications1. Strong attention to details and ability to find root cause of issues.
2. Ability to analyze and provide resolution to routine business and process issues.
3. Ability to collaborate and partner with teams across the PBM and medical partners to guide resolution to issues and requests.
4. Ability to operate effectively in a large, complex, and diverse organization. All
5. 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
6. Ability to adhere to the highest ethical standards including honesty, integrity, dedication.
7. Ability to use Microsoft Suite of products including Word, PowerPoint, Excel, SharePoint, Visio, Project, etc. All
8. Experience with health care, pharmacy benefit management, integrated accumulations, a plus.
9. Operate in a highly complex, matrix, and fast changing environment. This includes managing a book of business that will not be predictable. All
10. Work directly with internal partners at all levels (may include benefits, testing, account management, etc.)
11. Ability to prioritize work, execute work assignments to ensure deadlines are met, and identify when deliverables are at risk of not being met.
12. Support and adapt to organizational change when required.EducationVerifiable High School Diploma Required,
Bachelors Degree or Equivalent Work Experience preferred.Anticipated Weekly Hours 40Time Type Full timePay RangeThe typical pay range for this role is:$43,888.00 - $85,068.00This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.Great benefits for great peopleWe take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: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.For more information, visitWe anticipate the application window for this opening will close on: 08/29/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

CVS Health