We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.
Position Summary
This is a Scrum Team role that will be a member of the Medicare / Medicaid / Exchange Enrollment Configuration team tasked with developing purpose-built capabilities for our NextGen platform. This role is responsible for delivering analysis and requirements of oversight for various Membership Integration and Reconciliation Stories within an Agile framework.
Required Qualifications
2-4 years of experience as a Business Analyst (or equivalent) supporting Medicare and Medicaid programs in an operational and/or technology context
2-3 years experience as a business analyst/project manager
2-4 years experience with PLSQL, SQL Server and / or Oracle, SQL Server databases
4-6 years experience with software development lifecycles, having owned: detailed analysis (data / process analytics, process improvements, process flow creation, requirements gathering, requirements traceability through the software delivery lifecycle, including post-production checkout / reviews.
4-6 years experience with extensive analytical techniques (Scenarios and Use-cases, Scope Modeling, Functional Decomposition, Interviews, Observation / Job Shadowing, Focus Groups, Acceptance and Evaluation, Sequence Diagrams, User Stories, Brainstorming, Storyboarding, Prototyping, Event Analysis, Business Rule Analysis, Requirements Workshops, Risk Analysis, Root Cause Analysis)
Preferred Qualifications
Analytical experience supporting enrollment and eligibility platforms.
Experience with Pharmacy eligibility/claim transactions
4-6 years experience with software development lifecycles, having contributed to estimation (resource planning), capacity planning, requirement gathering, testing framework and strategy, and post implementation review.
2-4 years experience with Medicare, Medicaid or Exchange Enrollment, and Pharmacy Operations
Leadership / Creating Accountability (Intermediate)
Leadership / Developing and Executing Strategy (Intermediate)
Leadership / Driving a Culture of Compliance (Foundational)
General Business Consulting for requirement gathering and documentation (Advanced)
Leadership / Anticipating and Innovating (Advanced)
Technology / Justifying the Business Case (Advanced)
Experience with enterprise-wide and / or cross-functional large-scale initiatives with high degree of complexity.
Demonstrated experience successfully implementing change in complex organizations.
Demonstrated relationship management skills at the senior level; capacity to quickly build and maintain credible relationships at varying levels of the organization simultaneously.
**We support a hybrid work environment. If selected and you live near a suitable work location, you may be expected to comply with the hybrid work policy. Under the policy, all hires for in-scope populations should be placed into a hybrid or office-based location, working onsite three days a week.
Aetna Service Operations office/hub locations will be discussed with the selected candidate.**
Education
Bachelor's degree or equivalent experience
Anticipated Weekly Hours
40Time Type
Full timePay Range
The typical pay range for this role is:
$54,300.00 - $145,860.00This 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 offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
Additional details about available benefits are provided during the application process and on Benefits Moments.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Skills Required
- 2-4 years of experience as a Business Analyst or equivalent supporting Medicare and Medicaid programs in an operational or technology context
- 2-3 years of experience as a business analyst or project manager
- 2-4 years of experience with PL/SQL, SQL Server, and/or Oracle databases
- 4-6 years of experience with software development lifecycles, including detailed analysis, data and process analytics, process improvement, process flow creation, requirements gathering, requirements traceability, and post-production reviews
- 4-6 years of experience using analytical techniques such as scenarios and use cases, scope modeling, functional decomposition, interviews, user stories, requirements workshops, risk analysis, and root cause analysis
- Bachelor's degree or equivalent experience
- Experience supporting enrollment and eligibility platforms
- Experience with pharmacy eligibility and claims transactions
- Experience contributing to estimation, resource planning, capacity planning, testing strategy, and post-implementation reviews
- 2-4 years of experience with Medicare, Medicaid, Exchange Enrollment, and Pharmacy Operations
- Advanced business consulting experience for requirements gathering and documentation
- Experience with enterprise-wide or cross-functional large-scale initiatives
- Demonstrated experience implementing change in complex organizations
- Demonstrated senior-level relationship management skills
CVS Health Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about CVS Health and has not been reviewed or approved by CVS Health.
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Healthcare Strength — Health coverage is described as broad and robust, spanning medical, dental, vision, prescription, life, and disability insurance. Access to no-cost preventive care through MinuteClinic and virtual medical services further enhances the package.
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Wellbeing & Lifestyle Benefits — Wellness and education resources stand out, including tuition assistance, confidential counseling with generous session limits, virtual mental-health care, fitness programs, financial coaching, and employee discounts. Backup-care support and other lifestyle discounts add everyday value.
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Parental & Family Support — Family-oriented programs such as paid parental leave, adoption and surrogacy assistance, doula support, caregiving resources, and backup care are highlighted. These offerings indicate meaningful support for different life stages.
CVS Health Insights
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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.
