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Membership Operations Analyst

Work from home Full-time role Hiring

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 will be responsible for managing a book of business and representing the Integrated Accumulations Department for CVS/Caremark when working with the assigned Medical Partners/Vendors. This Analyst will be accountable for interactions with that the assigned medical partner/vendor. This Analyst will be responsible for overseeing the transactions shared between the Medical Partner and CVS/Caremark.. When there are transaction errors, this Consultant will be responsible for resolving those errors either internally or with the help of the Medical Partner. In resolving the transaction errors, this Analyst will be required to investigate and research the source of the error and correct it by using the Department’s standard processes and tools. It may also require the Analyst to partner across work streams with other internal resources to ensure the errors are corrected in a timely and efficient manner. This may include representing Integrated Accumulations on cross-functional work teams to resolve specific client issues. This Analyst will be responsible for meeting operational metrics and providing results for their book of business to the department leadership. Lastly this Analyst will be responsible for implementing service for new clients with existing Medical Partners. This will require the Analyst to work with cross-functional Implementation teams to setup and configure the sharing of transactions within the project plan timeline. A successful candidate will possess broad business acumen, strong relationship building and relationship management skills, tenacity to find root cause in any problem, and strong independent work management skills. Outstanding written and oral communication skills are essential, A successful candidate will need to be confident working independently, or within a team, in a dynamic and highly complex environment. Required Qualifications 1+ years of related professional work experience At least 1 year of experience managing a collaborative relationship, either with internal or external partners. 1+ year of experience using data to solve problems and/or process issues 1+ year of advanced Microsoft Excel experience.

Preferred Qualifications

Analyze data and processes to identify issues and root causes. Support resolution of routine business and operational issues. Prioritize tasks, manage deadlines, and escalate risks as needed. Collaborate with cross‑functional internal partners. Operate effectively in a fast‑paced, matrixed environment. Adapt to changing priorities and organizational needs. Maintain high standards of integrity, accuracy, and accountability. Proficient in Microsoft Office; healthcare or PBM experience a plus. Bachelors Degree or Equivalent Work Experience preferred Education High School Diploma Required Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $43,888.00 - $102,081.00 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 offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments. We anticipate the application window for this opening will close on: 04/27/2026 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. Apply tot his job Apply To this Job

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