Membership Operations Analyst at CVS Health in Remote

Summary: CVS Health is dedicated to shaping a more connected and compassionate health experience. The Membership Operations Analyst will manage a book of business, oversee transactions with medical partners, resolve transaction errors, and implement services for new clients, all while ensuring operational metrics are met. Responsibilities: - Managing a book of business and representing the Integrated Accumulations Department for CVS/Caremark when working with the assigned Medical Partners/Vendors - Accountable for interactions with that the assigned medical partner/vendor - Responsible for overseeing the transactions shared between the Medical Partner and CVS/Caremark - Responsible for resolving those errors either internally or with the help of the Medical Partner - Required to investigate and research the source of the error and correct it by using the Department’s standard processes and tools - 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 - Representing Integrated Accumulations on cross-functional work teams to resolve specific client issues - Responsible for meeting operational metrics and providing results for their book of business to the department leadership - Responsible for implementing service for new clients with existing Medical Partners - Work with cross-functional Implementation teams to setup and configure the sharing of transactions within the project plan timeline 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 - High School Diploma Required 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 Required Skills: Data analysis, Microsoft Excel Important Skills: Relationship management Benefits: Affordable medical plan options, 401(k) plan, Employee stock purchase plan, No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching, Paid time off, Flexible work schedules, Family leave, Dependent care resources, Colleague assistance programs, Tuition assistance, Retiree medical access