Client Operations - Analyst

Remote Full-time
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 Clinical Client Operations - Analyst will be responsible for analyzing Client's specialty benefit requests and inputting data into RxClaim to maintain specialty benefits (pricing, co-pays, grace fills, etc.) and building of new Specialty benefits for clients. The Analyst's duties will emphasize data analysis and review of client documentation to determine client intent for their specialty benefit. Analysis will be completed using RxClaim and analytical tools (i.e. MS Excel and MS Access) in support of specialty builds and maintenance. Other duties will include RxClaim query, data analysis, manual updates to RxClaim, testing changes using EZ- Test and macros and reviewing test claims for accuracy. The Analyst will also use SalesForce to track work and monitor TAT. The Analyst will confirm client intent when necessary and ensure complete client documentation is included with all request.

Required Qualifications
1 year prior work experience in Microsoft applications

Preferred Qualifications
1 year prior work experience in RxClaim Coding, RxClaim Query/EZ Query

Education
High School Diploma or GED required
Bachelor Degree preferred

Anticipated Weekly Hours
40

Time Type
Full time

Pay Range
The typical pay range for this role is:

$43,888.00 - $85,068.00
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.

We anticipate the application window for this opening will close on: 05/23/2026

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

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