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Renewal and Reporting Analyst
CVS Health Careers. Provide plan benefit review, interpretation, and systematic setup for customer service, claims, enrollment, billing, and reporting .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in healthcare benefit administration, including compliance with state and federal mandates, and utilizes analytical skills to enhance client service and operational efficiency. Proficient in Salesforce and industry coding systems to support effective implementation strategies and client communication.
Highest-signal resume keywords
Healthcare Benefit AdministrationSalesforce ExperienceICD-10 CodingAnalytical Problem-SolvingCompliance Knowledge
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Benefit ReviewAnalytical CodingPlan Design RecommendationsData Systems ExperienceCustomer Feedback Assessment
Soft Skills
Strong Communication SkillsOrganizational SkillsAttention to DetailFlexibility Under StressClient Advocacy
Tools & Technologies
SalesforceMeritain Proprietary SystemDOS Systems
Certifications & Qualifications
High School DiplomaGED
Industry Keywords
HealthcareBenefit ProvisionsClient ManagementRenewalsQuality Assurance
About the role
Key responsibilities & impact- Provide plan benefit review, interpretation, and systematic setup for customer service, claims, enrollment, billing, and reporting
- Utilize Meritain’s proprietary system for analytical coding of customized healthcare plans
- Develop and execute implementation strategies aligned with client expectations and performance guarantees
- Consult and advise internal stakeholders on complex benefit administration
- Recommend options to minimize manual processing and client disruption
- Make plan design and processing recommendations for clients
- Review benefit provisions for compliance with state and federal mandates
- Assess summary plan descriptions and related documents
- Collaborate on recommendations for complex account and benefit structures
- Set up and map client-level benefits using industry coding, including ICD-10 and place of service
- Gather and assess customer feedback to improve the renewal process
- Use Salesforce for cross-functional communication and executive-level status reporting
Requirements
What you’ll need- 2+ years of experience working with healthcare, specifically with quality, renewals, client advocacy, and/or account management
- Demonstrated knowledge of medical terminology
- Ability to work Monday-Friday from 8am-5pm and beyond core hours during busy seasons
- Previous experience with Salesforce
- Previous experience with various data systems, including DOS systems
- Ability to research and identify the root of a concern
- Strong analytical and problem-solving skills
- Ability to remain flexible yet focused during stressful situations
- Strong communication skills and ability to express complex concepts clearly and concisely
- Excellent organizational skills and ability to prioritize multiple assignments
- High attention to detail and accuracy
- High school diploma or GED
Benefits
Comp & perks- CVS Health bonus, commission or short-term incentive program in addition to base pay
- Medical coverage
- Dental coverage
- Vision coverage
- Paid time off
- Retirement savings options
- Wellness programs
- Other resources supporting physical, emotional, and financial well-being