Senior Analyst, Financial Operations

nce operations team.This Senior Financial Analyst, Adjustment Reporting and Research position focuses on claim adjustment reporting; and responsibilities include the
management and maintenance of assigned reports, report development, and the performance of analytical research as required.
With respect to reporting, the Sr Financial Analyst, Adjustment Reporting and Research would own multiple assigned reports, and would have
principal responsibility for assuring that Service Level process timelines are satisfied, for monitoring and tracking process performance, and
for identifying and recommending opportunities for process improvement. The reports that the Sr analyst would own, serve a vital purpose in
provide context of our claim adjustment process to not only internal but also external partners.Regarding process and procedure development, the Senior Financial Analyst, Adjustment Reporting and Research would be responsible for
defining procedure tasks, for documenting both the process and its associated work instructions, and for successfully implementing this newly
defined process. With respect to analytical research, this Claims Analyst would work with service requesters to understand the specific nature of the question being raised, would utilize proprietary tools to research these questions, and would the present the findings to the requester; assuring that the requester's needs have been fully addressed.This is a great position to both learn about various aspects of our business and to develop the foundation skills necessary for future, sustained success within our organization.

Required Qualifications

• 2+ years of Financial Operations experience.
• Experience with Microsoft Excel

Preferred Skills

• Claims review through AS400 with a focus on adjudication or benefit knowledge
• PBM experience and knowledge; Pharmacy claims adjudication
• Experience preparing reports and displaying data to help requestors make informed decisions
• Ability to pay close attention to detail and ensure accuracy in reports
• Strong relationship building and collaboration skills in order to work effectively with others
• Excellent written and verbal communication skills to effectively communicate findings to requestors

Preferred Qualifications

• PBM (Prescription benefit Management) industry experience

• Rx Claim Adjudication System experience

• Medicare Part D experience

• Experience with SQL (Structured Query Language) and SAP

• Experience with Salesforce

Education

• Bachelor's Degree required OR equivalent experience.

Anticipated Weekly Hours
40Time Type
Full timePay Range

The typical pay range for this role is:$46,988.00 - $112,200.00This 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.Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.Great benefits for great peopleWe 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, our great benefits include:

• 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/benefitsWe anticipate the application window for this opening will close on: 08/08/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.