Membership Operations Analyst

CVS Health•Scottsdale, AZ

21h•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. 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. 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.

Requirements

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.

Nice To Haves

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

Responsibilities

Managing a book of business and representing the Integrated Accumulations Department for CVS/Caremark when working with the assigned Medical Partners/Vendors.
Overseeing the transactions shared between the Medical Partner and CVS/Caremark.
Resolving transaction errors either internally or with the help of the Medical Partner by investigating and researching the source of the error and correcting it using standard processes and tools.
Partnering across work streams with other internal resources to ensure errors are corrected in a timely and efficient manner.
Representing Integrated Accumulations on cross-functional work teams to resolve specific client issues.
Meeting operational metrics and providing results for their book of business to department leadership.
Implementing service for new clients with existing Medical Partners by working with cross-functional Implementation teams to set up and configure the sharing of transactions within the project plan timeline.