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
The Senior Business Analyst supports execution and coordination of PBM, Medicaid, and Licensure regulatory and state reporting requirements. This role supports the Sr. Manager by coordinating workflows, managing reporting artifacts, and validating deliverables to ensure outputs are complete, accurate, and audit-ready. The role partners closely with internal and external teams that provide data, inputs, and subject matter expertise required for report production, ensuring timely and accurate delivery within established processes and governance structures.
Key Responsibilities
- Meet with internal and external customers to define high level report scope and requirements
- Coordinate with different reporting teams to ensure that PBM based reports meets all requested information
- Support documentation of regulatory reporting requirements and maintain supporting artifacts
- Ensure Salesforce intake cases are complete, accurate, and updated throughout the reporting lifecycle
- Prepare, maintain, and validate client lists used for regulatory reporting
- Maintain report templates, instructions, and version-controlled files
- Coordinate inputs from internal and external partner teams
- Perform quality checks on report outputs for completeness and accuracy
- Identify discrepancies and escalate issues appropriately
- Support assembly of reporting deliverables for submission readiness
- Maintain audit-ready documentation and artifact repositories
Audit & Control Responsibilities
- Execute validation controls for reporting accuracy and completeness
- Maintain documentation aligned to requirements and prior-period references
- Ensure traceability between requirements, inputs, and outputs
- Support audit requests through documentation retrieval and organization
- Escalate control gaps or inconsistencies
- Preserve version-controlled files, historical submissions, and supporting artifacts
- Support retrieval and organization of evidence for audit, compliance, or regulatory follow-up needs
Data & Analytical Expectations
- Maintain working knowledge of reporting data, methodologies, and assumptions relevant to assigned reports
- Perform data validation, reconciliation, and reasonability checks using prior submissions and supporting artifacts
- Analyze year-over-year changes in templates, scope, or required fields and support resolution of identified differences
- Support identification of data owners and appropriate points of contact for report inputs
- Support data accuracy reviews with reporting teams
Required Qualifications
- 3–5+ years of business analysis experience in reporting, finance operations, compliance operations, or healthcare operations
- Strong Excel, documentation, and coordination skills
Preferred Qualifications
- PBM or healthcare experience
- Experience supporting regulatory reporting, compliance operations, finance operations, or healthcare environments
- Experience working with medical and/or pharmacy claims data
Education
- Bachelor’s degree or equivalent experience
Anticipated Weekly Hours
40Time Type
Full timePay Range
The typical pay range for this role is:
$46,988.00 - $122,400.00This 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 business analysis experience in reporting, finance operations, compliance operations, or healthcare operations
- Strong Excel, documentation, and coordination skills
- Bachelor's degree or equivalent experience
- PBM or healthcare experience
- Experience supporting regulatory reporting, compliance operations, finance operations, or healthcare environments
- Experience working with medical and/or pharmacy claims data
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.
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