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Analyst, Eligibility

MinuteClinic

MinuteClinic

IT
Irving, TX, USA
Posted on Monday, June 10, 2024

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.

Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.

Position Summary:

CVS/Caremark, the Pharmacy Benefit Management (PBM) division of CVS Health, is in search of a Eligibility Data Analyst to join our Eligibility Administration Department. As Eligibility Data Analyst, you will provide strategic leadership for client and vendor eligibility data exchange, acting a liaison between clients, vendors, and PSS IT to shape business requirements and approve programming specifications. Your expertise will support new client implementation efforts, ensuring accurate and timely loading of eligibility data while effective coordinating file-related issues or system errors with PSS IT. You’ll oversee eligibility data validation and verification, maintaining system integrity through audits and reconciliation, and lead high-impact customer projects.

Required Qualifications:

  • Minimum of 2 years of experience in PBM or health plan eligibility with 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, including proficiency with EDI 834, to ensure data transfer consistency and accuracy.

  • Proven track record of effectively executing, testing, and maintaining critical operational tasks.

  • MS Office (Word, Excel, Access DB, Info Path)

Preferred Qualifications

  • Proficiency in SQL, Excel, and other technical data skills.

  • 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 and collaborating effectively within a team setting.

  • Excellent communication skills, time and project management, problem solving, analytical skills, and with a demonstrated ability to cultivate productive relationships with both internal and external stakeholders.

Education

  • High School Diploma or GED required.

  • Bachelor's Degree preferred.

Pay Range

The typical pay range for this role is:

$40,600.00 – $85,100.00

This 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.

In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.

For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits

We anticipate the application window for this opening will close on: 06/30/2024

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