[Remote] Membership Operations Analyst

Note: The job is a remote job and is open to candidates in USA. CVS Health is committed to building a more connected and compassionate health experience. The Membership Operations Analyst will manage a book of business, oversee transactions with medical partners, and resolve transaction errors while meeting operational metrics and implementing services for new clients.

Responsibilities

• This 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

Skills

• 1+ years of related professional work experience
• At least 1 year of experience managing a collaborative relationship, either with internal or external partners
• 1+ year of experience using data to solve problems and/or process issues
• 1+ year of advanced Microsoft Excel experience
• High School Diploma Required
• Analyze data and processes to identify issues and root causes
• Support resolution of routine business and operational issues
• Prioritize tasks, manage deadlines, and escalate risks as needed
• Collaborate with cross‑functional internal partners
• Operate effectively in a fast‑paced, matrixed environment
• Adapt to changing priorities and organizational needs
• Maintain high standards of integrity, accuracy, and accountability
• Proficient in Microsoft Office; healthcare or PBM experience a plus
• Bachelors Degree or Equivalent Work Experience preferred

Benefits

• Medical, dental, and vision coverage
• Paid time off
• Retirement savings options
• Wellness programs
• Other resources, based on eligibility

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