Client Benefits - Senior Analyst

CVS HealthIsland, KY
Remote

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 As a Sr Analyst, Client Benefits (BRM), you will captain the strategic documentation and deployment of our clients’ prescription benefit plan designs. The BRM position affords you the opportunity to gain valuable leadership experience through managing project teams. You will be seen as a client problem-solver and will bring innovative solutions to high-profile clients.

Requirements

  • 3+ years of experience in benefit plan design/coding/testing/account management, or related field
  • RxClaim/AS400 Experience
  • PBM Industry Experience
  • Verifiable High School Diploma or GED is required.

Nice To Haves

  • Expert level experience in RxClaim
  • Experience with Benefit Builder and FMS
  • 2 years of benefits coding operations experience

Responsibilities

  • Defining and Documenting Requirements with Clients and Account Managers
  • Consulting with account teams on proposed solutions to meet objectives and goals including financial and member experience
  • Researching and analyzing impacts for consideration of requirements or errors and providing direction on adjudication setups and solution to configuration and quality teams for mitigation
  • Cross functional project support to improve benefits requirements process
  • Mentorship of colleagues within Benefits and Clinical Operations
  • Building relationships with key client partners through a consultative approach to understand client benefit plan design needs
  • Translating client needs and requirements to internal CVS Health teams such as Benefits Coding and Quality Analysis
  • Facilitating internal and external meetings and presentations to provide status updates and make decisions relative to client benefit setup

Benefits

  • medical
  • dental
  • vision coverage
  • paid time off
  • retirement savings options
  • wellness programs
  • CVS Health bonus, commission or short-term incentive program
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