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Renewal and Reporting Analyst

Job not on LinkedIn

🔥 1 minute ago

🏈 Alabama, Alaska, +45 more states – Remote

infoinfo

💵 $47k - $122.4k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

📚 Business Intelligence Analyst

🚫👨‍🎓 No degree required

Where this job comes from

Posted on CVS Health's careers page, not through a job board

First seen by Remote Rocketship 1 minute ago

Logo of CVS Health

CVS Health

10,000+ employees

Founded 1963

🏥 Healthcare

⚕️ Healthcare Insurance

🛒 Retail

Healthcare • Healthcare Insurance • Retail

CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.

📋 Description

• Provides plan benefit review, interpretation, and systematic setup for customer service, claims, enrollment, billing, and reporting • Utilizes Meritain’s proprietary system for analytical coding of detailed customized plans • Develops and executes implementation strategies consistent with client expectations and performance guarantee arrangements • Consults and advises internal stakeholders on complex benefit administration • Advises on options to minimize manual processing and client disruption • Makes plan design and processing recommendations when working with clients • Reviews benefit provisions for compliance with state and federal mandates • Assesses summary plan descriptions and related documents prepared internally or externally by clients • Collaborates on analysis and recommendations for complex account and benefit structures • Executes system setup and mapping of client-level benefits to industry coding, including ICD-10, place of service, and healthcare reform • Solicits and assesses internal and external customer feedback to improve the renewal process • Uses Salesforce for cross-functional communication and executive-level status reporting

🎯 Requirements

• 2+ years of experience working with healthcare, specifically with quality, renewals, client advocacy, and/or account management • Demonstrated knowledge of medical terminology • Ability to work Monday-Friday from 8am-5pm, with the ability to work beyond those core hours during busy seasons • Previous experience with Salesforce • Previous experience with various data systems, including DOS systems • Ability to research and look beyond the first right answer to find the root of a concern • Strong analytical and problem-solving skills • Ability to remain flexible yet focused during stressful situations • Strong communication skills, with the ability to express complex concepts in a clear and concise manner • Excellent organization skills and ability to quickly prioritize multiple assignments with high quality results • High attention to detail and accuracy, while focusing on overall project deliverables • High school diploma or GED

🏖️ Benefits

• CVS Health bonus, commission or short-term incentive program in addition to the base pay range • Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being

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