Senior Analyst, Account Management

CVS Health

4d

About The Position

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 Summary The Senior Analyst, Account Management will serve as a fully dedicated advocate to senior employees and their families employed by a leading financial services company. Key Responsibilities Serve as the main point of contact for senior leaders working closely with the Benefits team to ensure a seamless and high-quality Aetna experience.

Requirements

• 3-5 years of client management experience within the healthcare industry.
• Demonstrated experience as a polished, concise, and professional communicator.
• Multi-functional experience, e.g., claim systems.

Nice To Haves

• Exceptional communication and interpersonal skills, with a polished, professional, and relationship-focused approach.
• Detail-oriented with a focus on precision and reliability in all tasks.
• Strong organizational and time-management abilities, with proven success in prioritization and meeting deadlines.
• Demonstrated ability to work collaboratively across teams and functions to achieve client satisfaction.
• Problem-solving mindset with the ability to identify issues, develop solutions, and follow through to resolution.

Responsibilities

• Serve as a primary point of contact for member service inquiries.
• Liaising with healthcare providers.
• Submitting and tracking out-of-network claims.
• Managing administrative processes such as pre-authorizations and pre-certifications.
• Assisting members in locating providers and scheduling appointments.
• Function as a subject matter expert on the employer’s Aetna medical plan.
• Track, analyze, and create reports on service utilization, and identify trends and opportunities for improvement.
• Collaborate with account team members and cross-functional partners to resolve complex product or service issues.
• Participate in ongoing training and development sessions to maintain a high level of service quality and knowledge.

Benefits

• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 5,001-10,000 employees