[Remote] Membership Operations Analyst

Remote Full-time
Note: The job is a remote job and is open to candidates in USA. CVS Health is committed to building a more connected and compassionate health experience. The Membership Operations Analyst will manage a book of business, oversee transactions with medical partners, and resolve transaction errors while meeting operational metrics and implementing services for new clients. Responsibilities 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 Skills 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 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 Benefits Medical, dental, and vision coverage Paid time off Retirement savings options Wellness programs Other resources, based on eligibility Company Overview CVS Health is a health solutions company that provides an integrated healthcare services to its members. It was founded in 1963, and is headquartered in Woonsocket, Rhode Island, USA, with a workforce of 10001+ employees. Its website is
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