Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.
 
Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.

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. As a Business Analyst, you will be responsible for delivering analysis, requirements and configuration for various enrollment, billing, reconciliation, correspondence and reporting Stories within an Agile framework.

• Performs analysis and translates business needs to create high-quality Business Requirements and Functional Specifications documentation within specified time frames to solve moderately complex problems (multiple interfaces with other systems within a business unit) considering all impacted components from an end-to-end perspective.
• Performs data analytics using SQL / PLSQL at an intermediate level
• Ensures end-to-end traceability of requirements is complete.
• Applies specific functional and/or business expertise to perform assigned tasks and develop specific project deliverables.
• Conducts impact analysis of configuration changes on business processes and existing technology.
• Competent to work with minimal supervision in a technical capacity on most phases of the business systems analysis.
• Contributes to the review of Test Planning and Test Execution strategies.
• Develops business workflow diagrams.
• Assists in the development of data models and interface design specifications.
• Documents, tracks, and resolves issues related to data quality.
• Contributes to the design and mapping of data conversion strategies.
• Participates in collaborative system and data design sessions with the user community, technical architecture resources, and development resources.
• Completes project activities on time and within budget, and proactively identifies and communicates issues that may jeopardize milestones or project budget to the Project Manager / Product Owner.
• Adheres to SDLC or AGILE project management methodology by utilizing internal procedures and tools and identifying areas for methodology improvement.
• Develops Product Overviews, FAQs, Tool Glossaries, system training material, and system user documentation to support implementation activities.
• Creates appropriate communication materials are documented and distributed appropriately.
• Conducts interviews, fact-finding, and independent research to design creative, progressive solutions for business problems.

Required Qualifications

• Experience PLSQL / Oracle databases; (2-4 years)
• Experience with software development lifecycles; application development (2-4 years)

• Experience with Market Prominence, MHK's (formerly MedHOK) Enrollment, Billing and Correspondence platform

• Experience with Medicare or Medicaid Enrollment, Billing and Correspondence Operations

Preferred Qualifications

• Information Technology / Release & Resource Management (2-4 years)
• Medical Management / Medical Management - Government Administration (2-4 years)
• Experience with member materials / correspondence implementation experience (2-4 years)
• Leadership / Creating Accountability
• Leadership / Developing and Executing Strategy
• Leadership / Driving a Culture of Compliance
• General Business Consulting for Solutions
• Leadership / Anticipating and Innovating
• Technology / Justifying the Business Case
• 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.

Education

• Bachelor's degree or equivalent experience

Pay Range

The typical pay range for this role is:

$60,300.00 - $132,600.00

This 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. 
 
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities.  The Company offers a full range of medical, dental, and vision benefits.  Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees.  The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners.  As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.  
 
For more detailed information on available benefits, please visit Benefits | CVS Health

We anticipate the application window for this opening will close on: 10/03/2024

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.