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.
The Senior Analyst, Project Management supports the Root Cause Corrective Action (RCCA) program by coordinating cross-functional issue resolution, supporting root cause analysis activities, tracking remediation efforts, and assessing operational and business impacts. This role partners closely with stakeholders across Claims, Grievances, Appeals, Compliance, Clinical, and Operational teams to identify recurring issue drivers, support governance activities, develop reporting and analytical solutions, and drive sustainable process improvements. Responsibilities include project coordination, stakeholder engagement, executive reporting, documentation management, and supporting leadership with data-driven recommendations that improve operational performance and member outcomes.
The Senior Analyst Project Management role supports Claims, Grievances and Appeals leadership team.
Primary Job Duties & Responsibilities:
- Applies in-depth knowledge to lead and manage cross-functional projects, ensuring successful planning, execution, and delivery within scope, timeline, and budget.
- Support the RCCA program by coordinating with issue stakeholders, monitoring remediation progress, and ensuring timely completion of corrective actions.
- Assist in root cause analysis activities, including issue identification, validation, trend analysis, corrective action planning, and development of recommendations to address recurring complaint, grievance, and appeal drivers.
- Partner with business stakeholders to quantify issue impact, analyze operational data, and support leadership reporting on risk, customer impact, and remediation outcomes.
- Support governance activities by validating root cause findings, tracking remediation effectiveness, and evaluating the sustainability of corrective actions.
- Identify operational defects, process gaps, compliance risks, and control weaknesses, and develop recommendations to improve quality, efficiency, and customer experience.
- Collaborate with cross-functional partners including Operations, Compliance, Clinical, Claims, Appeals, Provider/Network, Product, Technology, and Configuration teams to resolve issues and drive process improvements.
- Support projects and initiatives focused on process optimization, regulatory compliance, reporting enhancements, operational effectiveness, and reduction of recurring issue drivers.
- Develop and maintain process documentation, governance materials, job aids, training resources, and operational guidance to support program consistency and knowledge sharing.
- Assist with project planning, risk identification, milestone tracking, and stakeholder communications to ensure successful execution of RCCA-related initiatives.
- Monitor project and remediation activities, identify barriers to execution, escalate risks as needed, and provide regular status updates to leadership and stakeholders.
- Apply project management methodologies, governance standards, and continuous improvement practices to enhance program effectiveness and operational outcomes.
Required Qualifications:
- 3-5 years of experience in healthcare operations
- Strong analytical, problem-solving, and critical thinking skills with experience in root cause analysis, trend analysis, and process improvement.
- Experience supporting governance programs, remediation tracking, issue management, and corrective action planning.
- Proven ability to analyze data, quantify business impact, and develop actionable recommendations.
- Experience creating executive-level reports, dashboards, presentations, and business communications.
- Strong communication and stakeholder management skills, with the ability to explain complex issues to diverse audiences.
- Demonstrated ability to support cross-functional initiatives, influence stakeholders, and drive results in a matrixed environment.
- Advanced proficiency in Microsoft Excel, PowerPoint, and data analysis/reporting tools.
- Ability to work independently, manage multiple priorities, and execute with minimal supervision.
Preferred Qualifications:
- Proficiency with QuickBase or similar workflow management platforms
- Experience in Medicare Advantage, Part D, Commercial Appeals, Provider Appeals, Claims, Grievance, or CTM operations.
- Experience with governance, remediation tracking, root cause analysis, and operational improvement initiatives.
- Experience with reporting, analytics, automation, or business intelligence solutions.
- Experience supporting executive reporting and operational performance reviews.
- CAP, PMP, Lean Six Sigma, or related certification preferred.
Education:
Bachelor's degree preferred or equivalent combination of education, professional experience, and relevant healthcare operational expertise.
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 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
- 3-5 years of experience in healthcare operations
- Strong analytical, problem-solving, and critical thinking skills, including root cause analysis, trend analysis, and process improvement
- Experience supporting governance programs, remediation tracking, issue management, and corrective action planning
- Experience analyzing data, quantifying business impact, and developing actionable recommendations
- Experience creating executive-level reports, dashboards, presentations, and business communications
- Strong communication and stakeholder management skills
- Ability to support cross-functional initiatives, influence stakeholders, and drive results in a matrixed environment
- Advanced proficiency in Microsoft Excel, Microsoft PowerPoint, and data analysis or reporting tools
- Ability to work independently, manage multiple priorities, and execute with minimal supervision
- Proficiency with QuickBase or similar workflow management platforms
- Experience in Medicare Advantage, Part D, Commercial Appeals, Provider Appeals, Claims, Grievance, or CTM operations
- Experience with governance, remediation tracking, root cause analysis, and operational improvement initiatives
- Experience with reporting, analytics, automation, or business intelligence solutions
- Experience supporting executive reporting and operational performance reviews
- CAP, PMP, Lean Six Sigma, or related certification
- Bachelor's degree or equivalent combination of education, professional experience, and relevant healthcare operational expertise
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 includes medical, dental, and vision with HSA-eligible options, free preventive care, virtual care, and access to MinuteClinic services. Mental-health resources such as counseling support are emphasized, and coverage is often considered solid for full-time colleagues.
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Retirement Support — A dollar-for-dollar 401(k) match up to 5% after one year and an Employee Stock Purchase Plan are consistently highlighted in Total Rewards materials. Feedback suggests retirement programs are a meaningful strength within the overall package.
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Wellbeing & Lifestyle Benefits — Wellbeing offerings include up to 20 no-cost counseling sessions per issue, backup care, tuition assistance, and substantial in-store discounts, alongside broader wellness tools. These everyday perks expand value beyond base pay and can be especially meaningful for full-time schedules.
CVS Health Insights
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.
