Strategic Healthcare Renewal & Reporting Analyst

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

Benefits offered by this job

Medical, dental & vision coverage

Paid time off & retirement options

Wellness programs

Job summary

CVS Health is hiring for a benefit-focused role, working 40 hours per week, Monday–Friday, 8am–5pm. The position involves plan benefit review, interpretation, and system setup to support online viewing, billing, and reporting for internal and external partners.

The role requires 2+ years in healthcare with knowledge of medical terminology and experience renewing client accounts; Salesforce experience is preferred. A Bachelor’s or Associate degree is preferred.

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.

Responsibilities

• Provides plan benefit review, interpretation, and systematic setup for online viewing and processing.
• Uses Meritain's system for analytical coding of detailed customized plans.
• Executes implementation strategy consistent with client expectations and performance guarantees.
• Advises internal stakeholders on complex benefit administration and options to minimize manual processing.
• Reviews benefit provisions for compliance with state and federal mandates.
• Collaborates on design of complex benefit structures based on customer objectives.
• Maps client level benefits to industry coding (ICD 10, place of service, etc.).
• Drives continuous quality improvement on the renewal process.

Skills

Healthcare experience

Benefit interpretation

Analytical skills

Communication skills

Education

Associate's or Bachelor's degree

High school diploma or GED

Tools

Salesforce

DOS systems

Job description

CVS Health is hiring for a benefit-focused role, working 40 hours per week, Monday–Friday, 8am–5pm. The position involves plan benefit review, interpretation, and system setup to support online viewing, billing, and reporting for internal and external partners.

The role requires 2+ years in healthcare with knowledge of medical terminology and experience renewing client accounts; Salesforce experience is preferred. A Bachelor’s or Associate degree is preferred.