Client Benefits - Senior Analyst

CVS Health • Rhode Island, Rhode Island • 8h ago

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

As a Sr Analyst, Client Benefits (BRM), you will captain the strategic documentation and deployment of our clients' prescription benefit plan designs. The BRM position affords you the opportunity to gain valuable leadership experience through managing project teams. You will be seen as a client problem-solver and will bring innovative solutions to high-profile clients.

Primary Duties and Responsibilities:

Defining and Documenting Requirements with Clients and Account Managers

Consulting with account teams on proposed solutions to meet objectives and goals including financial and member experience

Researching and analyzing impacts for consideration of requirements or errors and providing direction on adjudication setups and solution to configuration and quality teams for mitigation

Cross functional project support to improve benefits requirements process

Mentorship of colleagues within Benefits and Clinical Operations

You will accomplish this by:

Building relationships with key client partners through a consultative approach to understand client benefit plan design needs

Translating client needs and requirements to internal CVS Health teams such as Benefits Coding and Quality Analysis

Facilitating internal and external meetings and presentations to provide status updates and make decisions relative to client benefit setup

Your success will be driven by exceeding client satisfaction score targets as well as working towards reduced service warranty payments to clients. Your healthcare industry knowledge in the areas of Formulary Management, Drug Utilization Management, and Reimbursement and Claims Adjudication will also contribute to your success. In this role, you will operate in a fast-paced environment with tight deadlines so your ability to operate autonomously and make key decisions is imperative. The contributions you will make as a BRM will position CVS Health as a leader in client satisfaction and service in the Pharmacy Benefit Management marketplace.

This is a remote role, candidates can live anywhere in the US

Required Qualifications

3+ years of experience in benefit plan design/coding/testing/account management, or related field

RxClaim/AS400 Experience

PBM Industry Experience

Preferred Qualifications

Expert level experience in RxClaim

Experience with Benefit Builder and FMS

2 years of benefits coding operations experience

Education

Bachelor's Degree or equivalent experience.

Verifiable High School Diploma or GED is required.

Anticipated Weekly Hours

Time Type

Full time

Pay Range

The typical pay range for this role is:

$46,988.00 - $112,200.00

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.

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.

This full-time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments (https://learn.bswift.com/cvshealth-mainland) .

We anticipate the application window for this opening will close on: 06/15/2026

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

CVS Health is an equal opportunity/affirmative action employer, including Disability/Protected Veteran - committed to diversity in the workplace.

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