Membership Operations Analyst
Hispanic Alliance for Career Enhancement, Phoenix, AZ, United States
Position Summary
This position will be responsible for managing a book of business and representing the Integrated Accumulations Department for CVS/Caremark when working with the assigned Medical Partners/Vendors. This analyst will be accountable for interactions with the assigned medical partner/vendor. This analyst will be responsible for overseeing the transactions shared between the Medical Partner and CVS/Caremark. When there are transaction errors, this consultant will be responsible for resolving those errors either internally or with the help of the Medical Partner. In resolving the transaction errors, this analyst will be required to investigate and research the source of the error and correct it by using the department's standard processes and tools. It may also require the analyst to partner across work streams with other internal resources to ensure the errors are corrected in a timely and efficient manner. This may include representing Integrated Accumulations on cross‑functional work teams to resolve specific client issues. This analyst will be responsible for meeting operational metrics and providing results for their book of business to the department leadership. Lastly this analyst will be responsible for implementing service for new clients with existing Medical Partners. This will require the analyst to work with cross‑functional implementation teams to set up and configure the sharing of transactions within the project plan timeline. A successful candidate will possess broad business acumen, strong relationship building and management skills, tenacity to find root cause in any problem, and strong independent work management skills. Outstanding written and oral communication skills are essential. A successful candidate will need to be confident working independently, or within a team, in a dynamic and highly complex environment.
Required Qualifications
1+ years of related professional work experience
At least 1 year of experience managing a collaborative relationship, either with internal or external partners.
1+ year of experience using data to solve problems and/or process issues
1+ year of advanced Microsoft Excel experience.
Preferred Qualifications
Analyze data and processes to identify issues and root causes.
Support resolution of routine business and operational issues.
Prioritize tasks, manage deadlines, and elevate risks as needed.
Collaborate with cross‑functional internal partners.
Operate effectively in a fast‑paced, matrixed environment.
Adapt to changing priorities and organizational needs.
Maintain high standards of integrity, accuracy, and accountability.
Proficient in Microsoft Office; healthcare or PBM experience a plus.
Bachelors Degree or Equivalent Work Experience preferred
Education
High School Diploma Required
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is: $43,888.00 - $85,068.00. 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.
Benefits
We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, we offer:
Affordable medical plan options,
a
401(k) plan
(including matching company contributions), and an
employee stock purchase plan .
No‑cost programs for all colleagues
including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
Benefit solutions that address the different needs and preferences of our colleagues
including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit https://jobs.cvshealth.com/us/en/benefits
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
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This position will be responsible for managing a book of business and representing the Integrated Accumulations Department for CVS/Caremark when working with the assigned Medical Partners/Vendors. This analyst will be accountable for interactions with the assigned medical partner/vendor. This analyst will be responsible for overseeing the transactions shared between the Medical Partner and CVS/Caremark. When there are transaction errors, this consultant will be responsible for resolving those errors either internally or with the help of the Medical Partner. In resolving the transaction errors, this analyst will be required to investigate and research the source of the error and correct it by using the department's standard processes and tools. It may also require the analyst to partner across work streams with other internal resources to ensure the errors are corrected in a timely and efficient manner. This may include representing Integrated Accumulations on cross‑functional work teams to resolve specific client issues. This analyst will be responsible for meeting operational metrics and providing results for their book of business to the department leadership. Lastly this analyst will be responsible for implementing service for new clients with existing Medical Partners. This will require the analyst to work with cross‑functional implementation teams to set up and configure the sharing of transactions within the project plan timeline. A successful candidate will possess broad business acumen, strong relationship building and management skills, tenacity to find root cause in any problem, and strong independent work management skills. Outstanding written and oral communication skills are essential. A successful candidate will need to be confident working independently, or within a team, in a dynamic and highly complex environment.
Required Qualifications
1+ years of related professional work experience
At least 1 year of experience managing a collaborative relationship, either with internal or external partners.
1+ year of experience using data to solve problems and/or process issues
1+ year of advanced Microsoft Excel experience.
Preferred Qualifications
Analyze data and processes to identify issues and root causes.
Support resolution of routine business and operational issues.
Prioritize tasks, manage deadlines, and elevate risks as needed.
Collaborate with cross‑functional internal partners.
Operate effectively in a fast‑paced, matrixed environment.
Adapt to changing priorities and organizational needs.
Maintain high standards of integrity, accuracy, and accountability.
Proficient in Microsoft Office; healthcare or PBM experience a plus.
Bachelors Degree or Equivalent Work Experience preferred
Education
High School Diploma Required
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is: $43,888.00 - $85,068.00. 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.
Benefits
We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, we offer:
Affordable medical plan options,
a
401(k) plan
(including matching company contributions), and an
employee stock purchase plan .
No‑cost programs for all colleagues
including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
Benefit solutions that address the different needs and preferences of our colleagues
including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit https://jobs.cvshealth.com/us/en/benefits
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
#J-18808-Ljbffr