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Analyst, Medicare FP&A

$43.89k - $85.07k

CVSHealth

Overview 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 Analyst serves as a key partner for ensuring the accuracy, compliance, and operational integrity of the organization’s Medicare Part D programs -- Medicare Advantage, SSIC, DSNP, and MMP programs. In this role, you will assist with the P2P monthly process, DIR Reporting, PDE Reporting functions and audit support. This individual contributor role routinely partners with Compliance, Finance, Audit, Pharmacy Operations, and external stakeholders including the PBM to resolve complex issues, strengthen operational controls, and ensure adherence to CMS standards for our Part D programs. The Analyst also contributes to automation, data governance, and ETL optimization initiatives to enhance efficiency and reliability of enterprise reporting and accuracy of Part D. Medicare Part D & CMS Compliance P2P Receivable Review: This will include entering payments received from other Part D Contracts and tracking and following up on open receivables. Assist in the annual DIR Reporting process. Assist in managing resolution of Acumen PDE tickets, ensuring timely and accurate responses and provide reporting to management. Ensure alignment with evolving CMS Part D guidance by coordinating with Compliance and Operational Integrity teams and our PBM. Synthesize complex data into clear, meaningful insights for senior leadership and Compliance partners. Financial Analysis & Reconciliation Assist in analytical reviews related to CMS PDE submissions and reconciliations to paid claims data. Identify opportunities to optimize accuracy, improve internal controls, and streamline operational processes for Part D PDE submissions. Required Qualifications 2+ years of experience in Medicare Part D accounting, financial operations, or regulatory compliance. Strong financial reporting and financial analysis experience. Proficiency with SAS/SQL, Python, GCP, and advanced data management tools. Demonstrated ability to interpret complex datasets and translate findings into actionable recommendations. Strong analytical, mathematical, and problem‑solving abilities. Preferred Qualifications 2+ years of Medicare Part D finance experience with expertise in data mining, analytics, and operational improvement. Experience supporting or leading compliance activities within a health plan or regulated environment. Education Bachelor’s degree in Finance, Accounting, or a related discipline, or equivalent experience. Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $43,888.00 - $85,068.00 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. Benefits Great benefits for great people. We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. Our benefits include: Affordable medical plan options , a 401(k) plan (including matching company contributions), and an employee stock purchase plan . No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, please review CVS Health benefits information at the URL listed in the posting. We anticipate the application window for this opening will close on: 04/10/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. #J-18808-Ljbffr CVSHealth

Vacancy posted 3 days ago
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