At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.
As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
Position Summary
This position is part of a team that supports the development and execution of network and mail pricing strategies for CVS Health, a Fortune 500 company. As an Analyst, you will assist in the implementation of pricing strategies across Employer, Health Plan, and Government segments. You will help configure and validate pricing setups to ensure accuracy in pharmacy claims adjudication systems by applying established business rules and referencing network structures and pricing documentation.
In this role, you will work closely with more senior team members and collaborate with internal partners such as Account Management, IT, Implementations, and Benefits. You may also support communication with clients under guidance. Your responsibilities will include assisting with data analysis, documenting processes, and preparing materials for audits and internal reviews.
Success in this role requires strong attention to detail, a willingness to learn, and the ability to manage multiple tasks in a fast-paced environment. You’ll contribute to ongoing pricing and product initiatives, including technology testing and integration efforts. Proficiency in Microsoft Excel and comfort working with data are important. Familiarity with compliance-driven environments (e.g., Sarbanes-Oxley, SAS-70), Medicaid/Medicare, or state regulatory requirements is a plus. An understanding of claims adjudication processes and implementation workflows is helpful but not required.
Required Qualifications
1+ years of operational experience within PBM or Health Care industry.
Preferred Qualifications
- 1+ years PBM or Health Care industry experience.
- Six Sigma belt certification.
- Beginning to intermediate knowledge of CVS Caremark network programs and procedures, including knowledge of retail pharmacy operations and claims adjudication proficiency.
- Fundamental project management knowledge and/or demonstrable experience is helpful.
- Operations experience in a volume heavy environment with strict deadlines.
- Strong interpersonal skills as demonstrated by successful collaboration to achieve common and shared goals across business teams.
- Effective time management skills, evidenced by experience being accountable to multiple deliverables on staggered deadlines.
- Intermediate proficiency in MS Office Suite of tools including Excel and Access desired.
- Effective communication skills in both formal and informal written communications and speech at all levels of an organization.
- Experience in compliance-driven environments such as Sarbanes-Oxley, SAS-70, and familiarity with Medicaid, Medicare, and state regulatory requirements is preferred.
Education
- Bachelor’s degree or equivalent experience required.
Anticipated Weekly Hours
40Time Type
Full timePay Range
The typical pay range for this role is:
$43,888.00 - $85,068.00This 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 people
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, 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/benefits
We anticipate the application window for this opening will close on: 07/31/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
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What We Do
CVS Health is the leading health solutions company that delivers care in ways no one else can. We reach people in more ways and improve the health of communities across America through our local presence, digital channels and our nearly 300,000 dedicated colleagues – including more than 40,000 physicians, pharmacists, nurses and nurse practitioners.
Wherever and whenever people need us, we help them with their health – whether that’s managing chronic diseases, staying compliant with their medications, or accessing affordable health and wellness services in the most convenient ways. We help people navigate the health care system – and their personal health care – by improving access, lowering costs and being a trusted partner for every meaningful moment of health. And we do it all with heart, each and every day.
