Senior Analyst, Account Management - Medicare Stars Initiatives and Member Engagement

Join CVS Health: Transforming Healthcare with Heart

At CVS Health, we believe in bringing our heart to every moment of your health. Our purpose is to deliver enhanced human-centric healthcare for a rapidly changing world, making health care more personal, convenient, and affordable. We're seeking a talented Senior Analyst, Account Management to join our team remotely, focusing on Medicare Part D Stars initiatives and member engagement. This role offers an immediate start and a competitive total rewards package, including a salary range of $46,988.00 - $112,200.00.

About CVS Health and Our Culture

CVS Health is a leading healthcare company dedicated to transforming the way healthcare is delivered. Our Heart At Work Behaviors empower every employee to play a vital role in accelerating our ability to innovate and deliver solutions. We prioritize our colleagues' well-being and offer a comprehensive benefits package. Our culture is built on a foundation of respect, integrity, and a commitment to making a positive impact on our communities.

Job Summary

This Senior Analyst, Account Management position is responsible for member-facing outreach to support Medicare Part D Stars initiatives. The ideal candidate will have experience in Medicare Stars, managed care, or population health, with excellent communication and analytical skills. As a Senior Analyst, you will execute clinical pharmacy programs, coordinate strategies for increasing adherence, and utilize motivational interviewing and health coaching to impact member behavior.

Key Responsibilities

• Execute Clinical Pharmacy Programs: Implement and manage clinical pharmacy programs to support Medicare Part D Stars initiatives.
• Coordinate Adherence Strategies: Develop and implement strategies to increase adherence to medication regimens.
• Motivational Interviewing and Health Coaching: Utilize motivational interviewing and health coaching techniques to impact member behavior and improve health outcomes.
• Communication with Pharmacies and Providers: Collaborate with pharmacies and provider offices as needed to support clinical programs.
• Internal and External Collaboration: Ensure effective collaboration with internal and external partners to support clinical programs.
• Business and Operational Process Improvement: Work with leadership and management to adapt and strengthen business and operational processes.
• Travel: This position may involve up to 10% travel.

Requirements and Qualifications

Essential Qualifications:

• Experience: 1+ year of experience with Medicare Stars, managed care, or population health.
• Customer-Facing Experience: 2+ years of customer or patient-facing experience.
• Pharmacy and Claims Processing: 1-2 years of experience with pharmacy and claims processing.
• Organizational and Analytical Skills: Excellent organizational and analytical skills.
• Communication Skills: Superior communication skills with patients and clinicians.
• Prioritization: Ability to prioritize daily to monthly deliverables.
• Computer Skills: Proficient in Microsoft Excel, Microsoft Teams, and SharePoint.

Preferred Qualifications:

• Certifications: Certified Pharmacy Technician (CPhT), Licensed Practical Nurse (LPN), Certified Medical Assistant (CMA), or equivalent clinical training.
• Formulary Designs and Prescription Benefit Trends: Knowledge of formulary designs and prescription benefit trends.
• Bilingual: Bilingual in English and Spanish.
• Medical Terminology: Knowledge of medical terminology.

Career Growth and Learning Benefits

At CVS Health, we invest in our employees' growth and development. You'll have access to:

• Education Assistance: Education assistance programs to support your career goals.
• Free Development Courses: Free development courses to enhance your skills.
• CVS Store Discount: A CVS store discount for all employees.
• Discount Programs: Discount programs with participating partners.

Work Environment and Culture

Our work environment is built on a foundation of respect, integrity, and a commitment to making a positive impact on our communities. We offer:

• Remote Work: This position offers remote work opportunities.
• Paid Time Off (PTO): Paid time off or vacation pay.
• Paid Holidays: Paid holidays throughout the calendar year.
• Well-being Programs: Numerous well-being programs to support your health and wellness.

Compensation and Benefits

We offer a competitive total rewards package, including:

• Salary Range: $46,988.00 - $112,200.00.
• Bonus, Commission, or Short-Term Incentive Program: Eligible for a CVS Health bonus, commission, or short-term incentive program.
• Medical, Dental, and Vision Benefits: A full range of medical, dental, and vision benefits.
• 401(k) Retirement Savings Plan: Eligible to enroll in the Company's 401(k) retirement savings plan.
• Employee Stock Purchase Plan: An Employee Stock Purchase Plan is available for eligible employees.
• Fully-Paid Term Life Insurance Plan: A fully-paid term life insurance plan to eligible employees.
• Short-Term and Long-Term Disability Benefits: Short-term and long-term disability benefits.

How to Apply

If you're passionate about transforming healthcare and engaging with members to improve their health outcomes, we encourage you to apply for this exciting opportunity. Even if you feel you're not a perfect match, we'd still love to hear from you. We're looking for great people to join our friendly team.

Apply To This Job

The application window for this opening will close on: 02/07/2025.

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