Healthcare Renewal & Analytics Specialist

CVS Health; Delaware; Hybrid; USD 47,000 - 122,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Paid time off

Retirement plan

Wellness programs

Job summary

CVS Health is seeking a Benefits/Plan Review Specialist to perform plan benefit review, interpretation, and system setup to support online viewing and processing for customer service, claims, enrollment, billing, and reporting. The role involves configuring client-level benefits, aligning with coding standards, and advising on process improvements.

Strong Salesforce proficiency is essential. Requirements include 2+ years in healthcare roles (quality, renewals, client advocacy, or account

Qualifications

• 2+ years of healthcare experience with quality, renewals, client advocacy, or account management, plus knowledge of medical terminology.
• Ability to work Monday–Friday 8am–5pm, with potential extended hours during busy periods.
• Associate’s or Bachelor’s degree.

Responsibilities

• Provides plan benefit review, interpretation, and system setup for online viewing and processing.
• Consults internal stakeholders on complex benefit administration.
• Advises on options to minimize manual processing and disruption for clients.
• Uses Salesforce for cross-functional communication and status reporting.
• Reviews benefit provisions for compliance with state and federal mandates.

Job description

CVS Health is seeking a Benefits/Plan Review Specialist to perform plan benefit review, interpretation, and system setup to support online viewing and processing for customer service, claims, enrollment, billing, and reporting. The role involves configuring client-level benefits, aligning with coding standards, and advising on process improvements.

Strong Salesforce proficiency is essential. Requirements include 2+ years in healthcare roles (quality, renewals, client advocacy, or account