Senior Analyst, Financial Operations

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.

Position Summary

The Senior Analyst, Financial Operations performs claims reverse and reprocessing (R&R) to address benefit coding errors, eligibility changes, program features, and client requests. This role manages both the Client Audit–submitted Service Warranty queue and the standard Commercial queue, supporting Commercial and Performance Guarantee clients with strict turnaround times and financial implications. Success in this role requires strong analytical judgment, organization, and accountability to prioritize, track, and complete work accurately with minimal oversight.

This work is a critical part of the Adjustment and Service Warranty process, including resolving rejects and QA failures, securing required approvals, and closing cases accurately and on time to deliver financial impacts to members, clients, and pharmacies. The Senior Analyst independently assesses cases, determines the appropriate resolution path, and executes corrective actions based on established requirements. This activity affects millions of claims annually and has broad organizational impact.

This role operates in a fast-paced, process-driven environment and requires strong ownership of an individual workload across multiple concurrent projects. The ideal candidate communicates status and risks clearly, stays organized under tight deadlines, and navigates client-sensitive work with a high degree of accuracy and follow-through.

This role may also present completed work to internal and external stakeholders and contribute beyond assigned casework through training, reporting, documentation, and cross-team collaboration.

Additional tasks associated with this position include:

• Extract claim data from RxClaim

• Analyze and research complex Service Warranty scenarios submitted by upstream partners

• Run and troubleshoot macros at regular intervals for business-critical workflows

• Summarize adjustment information and manipulate data into reports that reflect financial impact and details on an ad hoc basis

• Coordinate closely with the Client Audit team to clarify submissions, resolve questions, and ensure cases are completed accurately and timely

Analysts work closely with multiple internal departments such as Sales, Account Management, Client Audit, IT, Networks, Benefits, and Implementations to manage and coordinate the work.

Required Qualifications

• 2+ years of healthcare finance experience

• 2+ years of utilizing advanced Excel skills

Preferred Qualifications

• PBM industry and plan design knowledge

• RxClaim adjudication or benefits knowledge

• PBM or claim adjudication experience

• Proficiency in IBM AS400

• Understanding of SQL or other querying tools

• Understanding of data sets, tables/files, queries, joins, and other database concepts

• Ability to program using Visual Basic for Applications or other automation tools

• Demonstrated ability to work independently, manage competing priorities, and maintain ownership of assigned casework

• Strong customer service focus that includes both internal and external customers

• Excellent verbal and written communication skills

Education

• Bachelor's degree preferred or equivalent experience.

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$46,988.00 - $112,200.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

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.

Additional details about available benefits are provided during the application process and on Benefits Moments ( .

We anticipate the application window for this opening will close on: 06/04/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

CVS Health is an equal opportunity/affirmative action employer, including Disability/Protected Veteran — committed to diversity in the workplace.