Client Benefits - Senior Analyst

Sr Analyst, Client Benefits (BRM)

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.

As a Sr Analyst, Client Benefits (BRM), you will captain the strategic documentation and deployment of our clients' prescription benefit plan designs. The BRM position affords you the opportunity to gain valuable leadership experience through managing project teams. You will be seen as a client problem-solver and will bring innovative solutions to high-profile clients.

Primary Duties and Responsibilities:

• Defining and Documenting Requirements with Clients and Account Managers
• Consulting with account teams on proposed solutions to meet objectives and goals including financial and member experience
• Researching and analyzing impacts for consideration of requirements or errors and providing direction on adjudication setups and solution to configuration and quality teams for mitigation
• Cross functional project support to improve benefits requirements process
• Mentorship of colleagues within Benefits and Clinical Operations

You will accomplish this by:

• Building relationships with key client partners through a consultative approach to understand client benefit plan design needs
• Translating client needs and requirements to internal CVS Health teams such as Benefits Coding and Quality Analysis
• Facilitating internal and external meetings and presentations to provide status updates and make decisions relative to client benefit setup

Your success will be driven by exceeding client satisfaction score targets as well as working towards reduced service warranty payments to clients. Your healthcare industry knowledge in the areas of Formulary Management, Drug Utilization Management, and Reimbursement and Claims Adjudication will also contribute to your success. In this role, you will operate in a fast-paced environment with tight deadlines so your ability to operate autonomously and make key decisions is imperative. The contributions you will make as a BRM will position CVS Health as a leader in client satisfaction and service in the Pharmacy Benefit Management marketplace.

**This is a remote role, candidates can live anywhere in the US

Required Qualifications:

• 3+ years of experience in benefit plan design/coding/testing/account management, or related field
• RxClaim/AS400 Experience
• PBM Industry Experience

Preferred Qualifications:

• Expert level experience in RxClaim
• Experience with Benefit Builder and FMS
• 2 years of benefits coding operations experience

Education:

• Bachelor's Degree or equivalent experience.
• Verifiable High School Diploma or GED is required.

Anticipated Weekly Hours: 40

Time Type: Full time

Pay Range: The typical pay range for this role is: $46,988.00 - $112,200.00

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.