# Business Analyst - Medicare / Medicaid / Exchange Enrollment Configuration

**Company**: CVS Health
**Work arrangement**: hybrid
**Experience**: senior
**Job type**: full-time
**Salary**: $54,300.00 - $145,860.00
**Category**: Healthcare
**Industry**: Healthcare

**Apply**: https://cvshealth.wd1.myworkdayjobs.com/en-US/CVS_Health_Careers/job/PA---Work-from-home/Pharmacy-Eligibility-Claims-Business-Analyst_R1076445-1?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply
**Canonical**: https://yubhub.co/jobs/job_8d3032f9-737

## Description

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 colleagues who care deeply, innovate with purpose, and prioritize safety and quality in everything they do.

As a Business Analyst on the Medicare / Medicaid / Exchange Enrollment Configuration team, you will develop purpose-built capabilities for our NextGen platform. Your responsibilities will include delivering analysis and requirements oversight for various Membership Integration and Reconciliation Stories within an Agile framework.

**Responsibilities**

- 2-4 years of experience as a Business Analyst supporting Medicare and Medicaid programs in an operational and/or technology context

- 2-3 years of experience as a business analyst/project manager

- 2-4 years of experience with PLSQL, SQL Server, and/or Oracle, SQL Server databases

- 4-6 years of experience with software development lifecycles, including detailed analysis, data/process analytics, process improvements, and requirements gathering

- 4-6 years of experience with extensive analytical techniques, such as scenarios and use-cases, scope modeling, functional decomposition, and user stories

**Preferred Qualifications**

- Analytical experience supporting enrollment and eligibility platforms

- Experience with Pharmacy eligibility/claim transactions

- 4-6 years of experience with software development lifecycles, including estimation, capacity planning, and post-implementation review

- 2-4 years of experience with Medicare, Medicaid, or Exchange Enrollment, and Pharmacy Operations

- Leadership and creating accountability, developing and executing strategy, and driving a culture of compliance

**Benefits**

- Comprehensive benefits package, including medical, dental, and vision coverage, paid time off, retirement savings options, and wellness programs

- Eligibility for a CVS Health bonus, commission, or short-term incentive program

**Work Environment**

- Hybrid work environment; onsite three days a week

- Aetna Service Operations office/hub locations will be discussed with the selected candidate

**Education**

- Bachelor's degree or equivalent experience

**Anticipated Weekly Hours**

- 40 hours per week

**Time Type**

- Full-time

**Pay Range**

- $54,300.00 - $145,860.00 per year

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## Skills

### Required
- PLSQL
- SQL Server
- Oracle
- Agile framework
- Business Analysis

### Nice to have
- Pharmacy eligibility/claim transactions
- Medicare
- Medicaid
- Exchange Enrollment
- Leadership

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Source: [Apply at cvshealth.wd1.myworkdayjobs.com](https://cvshealth.wd1.myworkdayjobs.com/en-US/CVS_Health_Careers/job/PA---Work-from-home/Pharmacy-Eligibility-Claims-Business-Analyst_R1076445-1?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply)