Renewal and Reporting Analyst
At a glance
Mid-level Data Analysis & BI role at Cvshealth. Remote, United States · full-time · $46,988–$102,000 base.
dataroles summary, based on the employer's posting.
What you'll do
- Review client benefit terms and set them up in the system for claims, enrollment, billing, service and reporting
- Build implementation plans around client expectations, then check that administration meets performance guarantees
- Advise internal teams on complex benefits and recommend plan changes that reduce manual work and client disruption
- Map client benefits to industry coding and recommend designs for complex account and benefit structures
- Use customer feedback to improve renewals, and share executive status updates through Salesforce
What you bring
- At least two years in healthcare quality, renewals, client advocacy or account management, with medical terminology knowledge
- You can work weekdays from eight to five and stay later during busy periods
- A high school diploma or GED is required
Who this fits
This remote U.S. role suits someone with healthcare experience who can interpret detailed benefit plans and advise on their administration. You must be available during weekday core hours and extend your day when busy seasons require it.
From the employer
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
- Provides plan benefit review, interpretation, and systematic setup, essential for online viewing and processing, related to customer service, claims, enrollment, billing, and reporting, in support of internal and external partners.
- Ability to utilize Meritain’s proprietary system for analytical coding of detailed customized plans, rather than standard offerings.
- Develops and executes implementation strategy consistent with client expectations; ensures strategy is administered in accordance with all performance guarantee arrangements.
- Consults and advises internal stakeholders on complex benefit administration. Advises on options to minimize manual processing and disruption for the clients.
- Uses business knowledge and experience to make plan design and processing recommendations when working with clients.
- Reviews benefit provisions to ensure compliance with state and federal mandates. Evaluation process may also include assessment of summary plan descriptions and other related documents prepared internally or externally by clients.
- Collaborates on review, analysis, and development of recommendations for the design of complex account and benefit structures based on customers’ objectives and Meritain’s system.
- Executes system setup and mapping of client level benefits to align with industry coding (ICD 10, place of service, healthcare reform, etc.), similar to entry-level IT programming.
- Solicits and assesses internal and external customer feedback to drive continuous quality improvement on the renewal process (i.e. system tools, resources, etc.)
- Demonstrates Salesforce proficiency and understanding for cross-functional communication and enables executive-level status reporting.
Required Qualifications
- 2+ years of experience working with healthcare, specifically with quality, renewals, client advocacy, and/or account management, including a demonstrated knowledge of medical terminology.
- Ability to work Monday-Friday from 8am-5pm, with the ability to work beyond those core hours during busy seasons.
Preferred Qualifications
- 5+ years of experience working with healthcare, specifically with quality, renewals, client advocacy, and/or account management, including a demonstrated knowledge of medical terminology.
- Previous experience with Salesforce.
- Previous experience with various data systems, including DOS systems.
- Ability to research and look beyond the first right answer to find the root of a concern.
- Strong analytical and problem-solving skills.
- Ability to remain flexible yet focused during stressful situations.
- Strong communication skills, with the ability to express complex concepts in a clear and concise manner.
- Excellent organization skills and ability to quickly prioritize multiple assignments with high quality results.
- High attention to detail and accuracy, while focusing on overall project deliverables.
- Associate’s or Bachelor’s degree.
Education
- High school diploma or GED.
Anticipated Weekly Hours
40Time Type
Full timePay Range
The typical pay range for this role is:
$46,988.00 - $102,000.00This 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.
Additional details about available benefits are provided during the application process and on Benefits Moments.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
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