About the Role
This position focuses on researching and addressing the root causes of complex customer and business issues involving cross-functional processes. The research team navigates escalated organizational issues to provide guidance and facilitate action. The Senior Business Analyst is a strong individual contributor with the opportunity to work cross-functionally, influence process improvement, and add value to member experience.
Responsibilities
- Research, analyze, and recommend solutions on escalated issues.
- Act as subject matter expert regarding unit workflows, systems, key processes, and fiduciary responsibility.
- Assemble all data used in making determinations for resolution.
- Ensure end-to-end traceability and document timelines.
- Develop and support thorough business case and member value analysis of potential solutions.
- Communicate compelling and concise results to empower decision making.
- Focus on risk mitigation, customer experience, and adherence to compliance requirements.
Requirements
- 1+ years of experience working with business operations and data analytics.
- 1+ years of experience working in a healthcare and/or third party administrator business environment.
- 1+ years of experience utilizing Microsoft Suite: Excel, PowerPoint, Outlook.
Skills
- Data analytics reporting
- Meritain system knowledge (DG and/ or CSI)
- Claims processing experience
- Problem solving skills
- Analytical skills
- Decision-making skills
- Communication skills
- Diplomatic skills
- Collaboration skills
Work Type
- Full time
Experience Level
- 1+ years of experience
- 2+ years of experience
Education Level
- High school diploma or GED
Salary/Compensations
- $46,988.00 - $122,400.00
Benefits
- Medical coverage
- Dental coverage
- Vision coverage
- Paid time off
- Retirement savings options
- Wellness programs
About the Company
- 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.
- 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.
Equal Opportunity
- Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
