Senior Analyst Eligibility Operations - Remote

Overview

As a Senior Analyst Eligibility at CVS Health, you will oversee and ensure the accuracy and compliance of eligibility protocols for department processes, while analyzing data and conducting verification checks.

In Short

• Oversee eligibility protocols and standards.
• Analyze data to ensure accuracy and completeness.
• Create tools and conduct analysis for process development.
• Lead new products and services impacting the department.
• Implement enhancements for operational efficiencies.
• Ensure compliance with regulations and internal policies.
• Collaborate with departments to address inquiries.
• Generate reports and analyze eligibility data.
• Develop training materials and conduct training sessions.
• Manage projects aligning with organizational goals.

Requirements

• 3-4 years of operational experience in Eligibility or Healthcare Benefit Administration.
• Ability to manage high work volume and shifting priorities.
• Excellent written and verbal communication skills.
• Demonstrated ability to creatively solve problems.
• Knowledge of Meritain Operational processes preferred.
• Experience with analytic tools/languages like SalesForce, Tableau.
• Strong interpersonal skills with diverse stakeholders.
• Bachelor Degree or equivalent work experience required.

Benefits

• Affordable medical plan options.
• 401(k) plan with company matching.
• No-cost wellness programs.
• Paid time off and flexible work schedules.
• Tuition assistance and retiree medical access.
• Comprehensive benefits for physical, emotional, and financial wellness.