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 SummaryThis 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
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- 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.
- 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.
- 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.
- High school diploma or GED.
40Time Type
Full timePay Range
The typical pay range for this role is:$46,988.00 - $122,400.00This 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 peopleWe take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
- 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.