Workforce Management Analyst, Claims Operations

Job not on LinkedIn

🔥 19 hours ago

🏈 Alabama, Arizona, +42 more states – Remote

🏈 Alabama – Remote 🌵 Arizona – Remote ⛰️ Colorado – Remote 🦌 Connecticut – Remote 🐊 Florida – Remote 🥔 Idaho – Remote 🌽 Illinois – Remote 🌾 Iowa – Remote 🌪️ Kansas – Remote 🐎 Kentucky – Remote ⚜️ Louisiana – Remote 🦞 Maine – Remote 🦬 Montana – Remote 🌾 Nebraska – Remote 🎰 Nevada – Remote 🗻 New Hampshire – Remote 🏖️ New Jersey – Remote 🌶️ New Mexico – Remote 🗽 New York – Remote 🌲 North Carolina – Remote 🌾 North Dakota – Remote 🏈 Ohio – Remote 🌪️ Oklahoma – Remote 🌲 Oregon – Remote 🦀 Maryland – Remote 🍂 Massachusetts – Remote 🚗 Michigan – Remote ❄️ Minnesota – Remote 🎸 Mississippi – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote ⚓ Rhode Island – Remote 🌴 South Carolina – Remote 🗿 South Dakota – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⛷️ Utah – Remote 🍁 Vermont – Remote ⚔️ Virginia – Remote ☕ Washington – Remote ⛰️ West Virginia – Remote 🧀 Wisconsin – Remote 🦬 Wyoming – Remote 🍑 Georgia – Remote

💵 $21 - $40 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧐 Business Analyst

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CVS Health

WebsiteLinkedInAll Job Openings

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

• Analyze claims receipts, production, inventory, aging, staffing, productivity, and utilization trends • Develop and maintain Claims Operations demand and capacity forecasts • Build and maintain capacity models comparing productive capacity with projected claims demand and inventory requirements • Support claims inventory and forecasting across claims work types and inventory segments • Monitor workforce utilization and evaluate production and non-production activities • Evaluate workload distribution and identify opportunities to improve staffing allocation, workload balancing, productivity, and specialized claims skills utilization • Partner with Claims leadership to align capacity with operational priorities • Perform scenario modeling for staffing, overtime, vendor capacity, training/ramp assumptions, utilization, automation, productivity, and incoming claims volume • Develop recurring reporting and workforce insights for Claims leaders • Translate workforce and operational data into recommendations • Partner with cross-functional stakeholders on staffing and workforce strategies • Improve forecasting, reporting, workload management, resource utilization, and workforce planning processes • Support workforce planning methodologies, metric definitions, documentation, and governance

🎯 Requirements

• Minimum of 3 years of experience in workforce management, operations analytics, capacity planning, forecasting, claims operations, or a related operational role • Experience analyzing operational data and translating findings into actionable recommendations • Demonstrated proficiency working with data, spreadsheets, reporting tools, workforce management systems, or similar analytical platforms • Strong analytical, problem-solving, and decision-making skills • Strong communication, information management, and organization skills • Ability to collaborate effectively across operational and functional teams • Proactive self-starter who takes ownership, quickly learns new concepts, identifies opportunities for improvement, and independently drives issues toward resolution • High school diploma or GED

🏖️ Benefits

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

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