Senior Business Analyst - Meritain Health

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

This position focuses on researching and addressing the root causes of more complex customer and business issues that involve cross-functional processes. The research team is on point for navigating escalated organizational issues to provide guidance/direction to facilitate action and mitigate risk. There is a wide range of escalations from internal business units to include client management, claims, eligibility, network operations, customer service, audit, and Aetna. The Senior Business Analyst is a strong individual contributor with the opportunity to work cross functionally, influence process improvement, add value to member experience, and add to the team’s unique areas of expertise.

Key Responsibilities

• Research, analyze, and recommend solutions on escalated issues.

• Act as subject matter expert with regards to unit workflows, systems, key processes, fiduciary responsibility and assemble all data used in making determinations for resolution.

• Ensure end-to-end traceability and document timelines.

• Develop and support thorough business case and member value analysis of potential solutions.

• Communicate compelling and concise results to empower decision making.

• Focus on risk mitigation, customer experience, and adherence to compliance requirements.

Required Qualifications

• 1+ years of experience working with business operations and data analytics.

• 1+ years of experience working in a healthcare and/or third party administrator business environment.

• 1+ years of experience utilizing Microsoft Suite: Excel, PowerPoint, Outlook.

Preferred Qualifications

• 2+ years of experience with data analytics reporting.

• 2+ years of Meritain system knowledge (DG and/ or CSI).

• 2+ years of claims processing experience.

• Demonstrated problem solving, analytical, and decision-making skills.

• Strong communication & diplomatic skills across all levels.

• Collaboration skills.

• Strong & consistent performance.

Education

• High school diploma or GED.

Anticipated Weekly Hours

Time Type

Pay Range

The typical pay range for this role is:

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.  The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.  This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. 
 

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

Additional details about available benefits are provided during the application process and on Benefits Moments.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.