[Remote] Membership Operations Analyst

Note: The job is a remote job and is open to candidates in USA. CVS Health is focused on building a world of health around every individual, creating a more connected and compassionate health experience. The Membership Operations Analyst will manage relationships with medical partners, oversee transaction processes, resolve errors, and ensure operational metrics are met while implementing services for new clients.

Responsibilities

• Managing a book of business and representing the Integrated Accumulations Department for CVS/Caremark when working with the assigned Medical Partners/Vendors
• Accountable for interactions with the assigned medical partner/vendor
• Overseeing the transactions shared between the Medical Partner and CVS/Caremark
• Resolving transaction errors either internally or with the help of the Medical Partner
• Investigating and researching the source of the error and correcting it by using the Department’s standard processes and tools
• Partnering across work streams with other internal resources to ensure the errors are corrected in a timely and efficient manner
• Representing Integrated Accumulations on cross-functional work teams to resolve specific client issues
• Meeting operational metrics and providing results for their book of business to the department leadership
• Implementing service for new clients with existing Medical Partners
• Working with cross-functional Implementation teams to setup and configure the sharing of transactions within the project plan timeline

Skills

• 1+ years of related professional work experience
• At least 1 year of experience managing a collaborative relationship, either with internal or external partners
• 1+ year of experience using data to solve problems and/or process issues
• 1+ year of advanced Microsoft Excel experience
• High School Diploma Required
• Analyze data and processes to identify issues and root causes
• Support resolution of routine business and operational issues
• Prioritize tasks, manage deadlines, and escalate risks as needed
• Collaborate with cross‑functional internal partners
• Operate effectively in a fast‑paced, matrixed environment
• Adapt to changing priorities and organizational needs
• Maintain high standards of integrity, accuracy, and accountability
• Proficient in Microsoft Office; healthcare or PBM experience a plus
• Bachelors Degree or Equivalent Work Experience preferred

Benefits

• Affordable medical plan options
• 401(k) plan (including matching company contributions)
• 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.

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