Analyst, Member Payments

Job 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 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. The Member Payments Analyst supports the accurate and timely processing of member payment activity across PBM Financial Operations. This role is responsible for researching, reconciling, documenting, and resolving payment-related work tied to member reimbursements, recoupments, check voids, reissues, daily balancing, SalesForce cases, and Compass tasks. The analyst works closely with internal partners to ensure payments are handled accurately, audit trails are complete, service expectations are met, and member/client impacts are understood. In addition, this role partners closely with the Member Impact System (MIS) team to support system enhancements, issue identification and resolution, testing activities, reporting needs, and process improvements that improve the member payment experience. The analyst is responsible for developing, maintaining, and analyzing operational reports that provide visibility into payment activity, trends, reconciliation results, and business performance metrics. This position also collaborates across multiple departments, including Operations, Technology, Finance, Member Services, and Product teams, to support cross-functional initiatives, resolve complex issues, and drive continuous improvement efforts. This role plays an important part in helping members receive the best payment experience possible through accurate research, timely resolution, clear documentation, effective partnership, and data-driven decision making. Role Overview This role requires strong attention to detail, sound judgment, clear communication, and the ability to work through complex payment research from start to finish. The analyst will manage multiple priorities in a fast-paced, process-driven environment while following established procedures, documenting work clearly, escalating issues appropriately, and supporting ongoing process improvement across the Member Payments team. The analyst must also be comfortable interpreting and presenting data, creating meaningful reports and insights, partnering with the MIS team on system-related initiatives, and collaborating with cross-functional stakeholders to identify root causes, recommend solutions, and support operational excellence. Required Qualifications 2 or more years of experience in a finance or accounting operations role Excel skills include ability to manage and present large volumes of data, creating/using complex formulas, report formatting, pivot tables, data manipulation, and other advanced functions. ​ Working knowledge of SAP or similar financial systems; experience with transaction research, payment application, check review, voids, reissues, or account reconciliation. Experience with Salesforce, Compass, or other case/task management tools. Preferred Qualifications Experience in healthcare, PBM, finance operations, member reimbursement, claims, or payment processing, accounting. Experience with RxClaim and other CVS Caremark specific applications. Ability to research issues, identify trends or discrepancies, and determine appropriate next steps. Understanding of audit controls, documentation standards, SOX, HIPAA, PII/PHI, and financial operations compliance expectations. Strong written and verbal communication skills, including the ability to document actions clearly and explain findings to internal partners. Ability to manage multiple tasks, meet service-level expectations, and escalate issues when additional support or approval is needed. Customer-service mindset with the ability to balance timely case resolution, accuracy, and member/client impact. Process improvement, cross-training, and documentation. Experience partnering with technology teams, including the Member Impact System (MIS) team, to support system enhancements, testing, issue resolution, and process optimization. Demonstrated experience creating, maintaining, and analyzing operational or financial reports, including identifying trends, risks, and opportunities through data analysis. Strong cross-functional collaboration skills with the ability to work effectively across Operations, Technology, Finance, Product, and Customer Service teams to achieve shared business objectives. Experience supporting business initiatives, process improvement projects, and user acceptance testing (UAT) activities for system changes and enhancements. Education: High School Diploma or GED 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: 09/18/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.