Strategic Health Benefits Renewal & Reporting Analyst

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

Benefits offered by this job

Medical, dental, and vision coverage

Paid time off

Retirement savings options

Wellness programs

Job summary

CVS Health is seeking a Benefit Analyst to review and interpret plan benefits, set up systems, and support client services, claims, enrollment and reporting in collaboration with internal and external partners.

The ideal candidate will apply knowledge of medical terminology, support renewals, advise on process improvements, and utilize Salesforce and other data systems to deliver accurate, timely solutions. This is a full-time, 40-hour week role with competitive benefits.

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.
• Associate's or Bachelor's degree may be preferred per listing.

Responsibilities

• Provides plan benefit review and interpretation for online viewing and processing related to customer service, claims, enrollment, billing and reporting.
• Uses Meritain's proprietary system for analytical coding of customized plans.
• Develops and executes implementation strategies aligned with client expectations and guarantees.
• Advises internal stakeholders on complex benefit administration and options to minimize manual processing.
• Makes plan design and processing recommendations based on client objectives and Meritain's system.
• Reviews benefit provisions for state/federal compliance and assesses related documents.
• Collaborates on design of complex account and benefit structures.
• Executes system setup and mapping of client benefits to industry coding (ICD 10, place of service, etc.).
• Solicits feedback to improve renewal processes and system tools.

Skills

Analytical skills

Problem-solving

Communication skills

Attention to detail

Education

High school diploma or GED

Tools

Salesforce

DOS systems

Job description

CVS Health is seeking a Benefit Analyst to review and interpret plan benefits, set up systems, and support client services, claims, enrollment and reporting in collaboration with internal and external partners.

The ideal candidate will apply knowledge of medical terminology, support renewals, advise on process improvements, and utilize Salesforce and other data systems to deliver accurate, timely solutions. This is a full-time, 40-hour week role with competitive benefits.