Senior Analyst, Financial Operations - Remote

Overview

The Senior Analyst, Financial Operations role at CVS Health involves performing claims reverse and reprocessing to address benefit coding errors and client requests. This position is crucial for managing financial impacts and requires strong time management skills.

In Short

• Perform claims reverse and reprocessing.
• Focus on Commercial and Performance Guarantee Clients.
• Manage individual queue of multiple projects.
• Resolve rejects and QA fails.
• Run and troubleshoot macros for workflows.
• Summarize adjustment information into reports.
• Collaborate with internal departments.
• Handle complex adjustments and cases.
• Present and explain work to internal and external parties.
• Take on additional team responsibilities.

Requirements

• Minimum 2 years of healthcare experience.
• Advanced Excel skills.
• Knowledge of PBM Industry and plan design.
• Understanding of SQL and database concepts.
• Ability to program using VBA or automation tools.
• Strong customer service focus.
• Excellent verbal and written communication skills.
• Bachelor's degree or equivalent experience.

Benefits

• Affordable medical plan options.
• 401(k) plan with matching contributions.
• Employee stock purchase plan.
• No-cost wellness programs.
• Paid time off and flexible work schedules.
• Tuition assistance.
• Confidential counseling and financial coaching.
• Retiree medical access.