Member Data Transition Analyst

CVS Health

7d•Onsite

About The Position

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary The Member Data Transition Analyst is responsible for accurately loading, processing, requesting, and transmitting member related data files between internal systems and external Pharmacy Benefit Managers (PBMs). This role operates in a fast‑paced, high‑volume environment, especially during peak season, and requires a high level of attention to detail, timeliness, and accountability to ensure seamless member transitions and data integrity.

Requirements

1–3 years of experience in PBM or healthcare administration
Experience working with large data files and external vendors preferred
Strong attention to detail with a proven ability to meet tight deadlines
Ability to work effectively in a fast‑paced, high‑volume environment
Proficient in Microsoft Excel (including sorting, filtering, and basic analysis)
High School diploma required

Nice To Haves

Familiarity with file formats such as CSV, Excel, and fixed‑width files
Proficiency in Microsoft Access
Basic understanding of data transmission methods (SFTP, secure file exchange)
Familiarity with PBM data concepts (claims, prior authorizations, accumulations, open refill transfers)
Ability to troubleshoot file errors, formatting issues, or data mismatches
Prior experience working in a regulated or compliance‑sensitive environment

Responsibilities

Prepare, validate, and load member data files in accordance with established processes, layouts and schedules
Coordinate internal handoffs of files to downstream teams
Review files for completeness, formatting accuracy, and data integrity prior to release
Track timelines and flag risks or delays early
Maintain clear internal documentation and status updates throughout the transition lifecycle
Support issue resolution by identifying root causes and partnering with internal stakeholders
Adhere to established controls, deadlines, and audit requirements