Benefits Automation - Senior Analyst

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 Summary As a Benefits Automation Analyst, you will act in the role of project facilitator and work with internal partners across departments. You will be responsible for facilitating, defining, documenting business requirement for Plan Automation and delivering key functionality. The projects you lead will be geared toward operational efficiencies in the Benefit Set Up, Benefit Design and implementation, as well as support other operational needs or issues. You will be directly responsible for working with internal partners on the automation approach that will drive efficiencies and deliver maximum benefits to Clients. Your responsibilities will include: Plan Benefit Automation Planning and Documenting Requirements Development of Rules in the Business Rule Engine Testing Delivery Collaborating with internal Benefits and IT Teams and making key decisions regarding plan design architecture Your success will be measured by your ability to effectively communicate and partner with key partners and take your projects across the finish line. You will operate in a dynamic environment with tight deadlines. A developed ability to perform in multi-tasking team environment while meeting deadlines and resolve ambiguous requests will also contribute to your success. Required Qualifications * 3 years of experience in RxClaim adjudication functionality and plan design Preferred Qualifications * Healthcare/PBM experience strongly desired *RxClaim System Experience * Quality Assurance and/or User Acceptance Testing Experience * Excellent written & verbal communication skills * IBM Operational Decision Manager (ODM) Knowledge *Dynamic individual that thrives in a fast-paced, operational environment that is client centric * RxClaim System Experience * Demonstrated ability to make decisions independently by applying sound judgment based on business principles and supporting data facts Education Bachelors Degree or equivalent experience required Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $46,988.00 - $112,200.00 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 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. For more information, visit https://jobs.cvshealth.com/us/en/benefits We anticipate the application window for this opening will close on: 12/31/2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. Our Work Experience is the combination of everything that's unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people. Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful. They make choices according to what is best for the team, they live for opportunities to collaborate and make a difference, and they make us the #1 Top Workplace in the area.

Salary : $46,988 - $112,200