Remote – Member Data Transition Analyst(Entry Level/No Degree RQD)
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 Member Data Transition Analyst is responsible for accurately loading, processing, requesting, and transmitting member related data files between internal systems and external Pharmacy Benefit Managers (PBMs). This role operates in a fast‑paced, high‑volume environment, especially during peak season, and requires a high level of attention to detail, timeliness, and accountability to ensure seamless member transitions and data integrity.
Primary job duties and responsibilities:
• Prepare, validate, and load member data files in accordance with established processes, layouts and schedules
• Coordinate internal handoffs of files to downstream teams
• Review files for completeness, formatting accuracy, and data integrity prior to release
• Track timelines and flag risks or delays early
• Maintain clear internal documentation and status updates throughout the transition lifecycle
• Support issue resolution by identifying root causes and partnering with internal stakeholders
• Adhere to established controls, deadlines, and audit requirements
Required Qualifications
• 1–3 years of experience in PBM or healthcare administration
• Experience working with large data files and external vendors preferred
• Strong attention to detail with a proven ability to meet tight deadlines
• Ability to work effectively in a fast‑paced, high‑volume environment
• Proficient in Microsoft Excel (including sorting, filtering, and basic analysis)
Preferred Qualifications
• Familiarity with file formats such as CSV, Excel, and fixed‑width files
• Proficiency in Microsoft Access
• Basic understanding of data transmission methods (SFTP, secure file exchange)
• Familiarity with PBM data concepts (claims, prior authorizations, accumulations, open refill transfers)
• Ability to troubleshoot file errors, formatting issues, or data mismatches
• Prior experience working in a regulated or compliance‑sensitive environment
Education
High School diploma required
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: 05/30/2026
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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Position Summary
The Member Data Transition Analyst is responsible for accurately loading, processing, requesting, and transmitting member related data files between internal systems and external Pharmacy Benefit Managers (PBMs). This role operates in a fast‑paced, high‑volume environment, especially during peak season, and requires a high level of attention to detail, timeliness, and accountability to ensure seamless member transitions and data integrity.
Primary job duties and responsibilities:
• Prepare, validate, and load member data files in accordance with established processes, layouts and schedules
• Coordinate internal handoffs of files to downstream teams
• Review files for completeness, formatting accuracy, and data integrity prior to release
• Track timelines and flag risks or delays early
• Maintain clear internal documentation and status updates throughout the transition lifecycle
• Support issue resolution by identifying root causes and partnering with internal stakeholders
• Adhere to established controls, deadlines, and audit requirements
Required Qualifications
• 1–3 years of experience in PBM or healthcare administration
• Experience working with large data files and external vendors preferred
• Strong attention to detail with a proven ability to meet tight deadlines
• Ability to work effectively in a fast‑paced, high‑volume environment
• Proficient in Microsoft Excel (including sorting, filtering, and basic analysis)
Preferred Qualifications
• Familiarity with file formats such as CSV, Excel, and fixed‑width files
• Proficiency in Microsoft Access
• Basic understanding of data transmission methods (SFTP, secure file exchange)
• Familiarity with PBM data concepts (claims, prior authorizations, accumulations, open refill transfers)
• Ability to troubleshoot file errors, formatting issues, or data mismatches
• Prior experience working in a regulated or compliance‑sensitive environment
Education
High School diploma required
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: 05/30/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Apply tot his job
Apply To this Job