Experience: 1+ year
This position focuses on researching and addressing the root causes of more complex customer and business issues that involve cross-functional processes. The research team is on point for navigating escalated organizational issues to provide guidance/direction to facilitate action and mitigate risk. There is a wide range of escalations from internal business units to include client management, claims, eligibility, network operations, customer service, audit, and Aetna.
The Senior Business Analyst is a strong individual contributor with the opportunity to work cross functionally, influence process improvement, add value to member experience, and add to the team's unique areas of expertise.
- Research, analyze, and recommend solutions on escalated issues.
- Act as subject matter expert with regards to unit workflows, systems, key processes, fiduciary responsibility and assemble all data used in making determinations for resolution.
- Develop and support thorough business case and member value analysis of potential solutions.
- Communicate compelling and concise results to empower decision making.
- Focus on risk mitigation, customer experience, and adherence to compliance requirements.
- 1+ years of experience working with business operations and data analytics.
- 1+ years of experience working in a healthcare and/or third party administrator business environment.
- 1+ years of experience utilizing Microsoft Suite: Excel, PowerPoint, Outlook.
- Demonstrated problem solving, analytical, and decision-making skills.
- Strong communication & diplomatic skills across all levels.
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.
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.
We anticipate the application window for this opening will close on: 08/07/2026
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This posting was published by CVS Health on their own careers system and is shown here with a direct link to apply there. Employers: for corrections or removal, contact jobs@veritahire.com.