Senior Analyst,Business Consultant

CVSHealth; Pennsylvania; Hybrid; USD 47,000 - 102,000; Full time

Job summary

CVS Health in Pennsylvania is seeking an experienced claims professional to support the DSNP expansion. You will own 837 file transmissions to the states, review state responses, and ensure all transactions are complete and error-free, enabling seamless member experiences.

The ideal candidate has 2+ years in medical claims and Medicare/Medicaid, plus data management and FTP transmission experience, with a Bachelor’s or equivalent and a passion for accurate, compliant healthcare data flows.

Qualifications

• 2+ years experience with medical claims and/or Medicare/Medicaid.
• 2+ years experience with FTP and other data transmission software.
• 3+ years of data management experience.

Skills

Medical claims

Data transmissions (FTP)

Data management

DSNP plans

Florida state experience

Education

Bachelor's degree or equivalent

Job description

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

Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human‑centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.

The growing DSNP business has created an opportunity for an individual with claims experience, who is familiar with the 837 standard claims format. This individual will own 837 file transmissions to the states, manage and act on state response files, ensuring that all transactions transmitted are complete and error free.

Required Qualifications

• 2+ years experience with medical claims and/or Medicare/Medicaid
• 2+ years experience with data transmissions through FTP and other data transmission software
• 3+ years of data management experience

Preferred Qualifications

• 2+ years of working with Medicare/Medicaid/DSNP plans.
• 1+ years of working with the State of Florida

Education

Bachelors degree or equivalent work experience

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

$46,988.00 - $102,000.00

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.

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.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 11/06/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.