Pharmacy Eligibility/Claims Business Analyst

Scrum Team MemberWe'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.This is a Scrum Team role that will be a member of the Medicare / Medicaid / Exchange Enrollment Configuration team tasked with developing purpose-built capabilities for our NextGen platform. This role is responsible for delivering analysis and requirements of oversight for various Membership Integration and Reconciliation Stories within an Agile framework.Required Qualifications:2-4 years of experience as a Business Analyst (or equivalent) supporting Medicare and Medicaid programs in an operational and/or technology context2-3 years experience as a business analyst/project manager2-4 years experience with PLSQL, SQL Server and/or Oracle, SQL Server databases4-6 years experience with software development lifecycles, having owned: detailed analysis (data/process analytics, process improvements, process flow creation, requirements gathering, requirements traceability through the software delivery lifecycle, including post-production checkout/reviews.4-6 years experience with extensive analytical techniques (Scenarios and Use-cases, Scope Modeling, Functional Decomposition, Interviews, Observation/Job Shadowing, Focus Groups, Acceptance and Evaluation, Sequence Diagrams, User Stories, Brainstorming, Storyboarding, Prototyping, Event Analysis, Business Rule Analysis, Requirements Workshops, Risk Analysis, Root Cause Analysis)Preferred Qualifications:Analytical experience supporting enrollment and eligibility platforms.Experience with Pharmacy eligibility/claim transactions4-6 years experience with software development lifecycles, having contributed to estimation (resource planning), capacity planning, requirement gathering, testing framework and strategy, and post implementation review.2-4 years experience with Medicare, Medicaid or Exchange Enrollment, and Pharmacy OperationsLeadership / Creating Accountability (Intermediate)Leadership / Developing and Executing Strategy (Intermediate)Leadership / Driving a Culture of Compliance (Foundational)General Business Consulting for requirement gathering and documentation (Advanced)Leadership / Anticipating and Innovating (Advanced)Technology / Justifying the Business Case (Advanced)Experience with enterprise-wide and/or cross-functional large-scale initiatives with high degree of complexity.Demonstrated experience successfully implementing change in complex organizations.Demonstrated relationship management skills at the senior level; capacity to quickly build and maintain credible relationships at varying levels of the organization simultaneously.Education:Bachelor's degree or equivalent experienceAnticipated Weekly Hours: 40Time Type: Full timePay Range: The typical pay range for this role is: $54,300.00 - $145,860.00. 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.Great benefits for great peopleWe 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.