Senior Analyst – Claims Business Analysis

CVS Health Careers

. Provide consultation on the design, testing and enhancement of information products .

Posted 11/11/2026full-timePhoenix • Arizona • United StatesSenior💰 $46,988 - $102,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in data interpretation and analysis, with a strong focus on enhancing information products and improving data quality. Proficient in QNXT and Excel, with the ability to develop consultative relationships and provide technical assistance to clients.

Highest-signal resume keywords

QNXTExcelData InterpretationHealthcare BackgroundCommunication Skills

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Data AnalysisData ManipulationTest PlanningSolution IntegrationRoot Cause AnalysisClaims ReviewDatabase ManagementInformation Product DevelopmentPresentation SkillsMS SQL

Soft Skills

LeadershipCoachingMentoringConsultative Relationship BuildingVerbal Communication

Tools & Technologies

MS OfficeAccess DBInfoPathRemedy

Certifications & Qualifications

Bachelor's DegreeTechnical Certification

Industry Keywords

HealthcareClaims ProcessingBusiness ProcessesData QualitySystem Infrastructure

Tech Stack

Tools & technologies

SQL

About the role

Key responsibilities & impact

Provide consultation on the design, testing and enhancement of information products
Provide technical assistance and product development support to external and internal customers
Research, manipulate and prepare complex data to document program activities and report results
Oversee data quality and provide feedback to improve service delivery and design efforts
Develop consultative relationships with internal and external customers
Lead or act as a business technical expert in planning, developing and validating master or detail test plans and strategies
Perform ongoing research and support tasks for existing systems
Lead or act as a business technical expert in designing new applications or enhancements, including solution integration
Provide leadership, coaching and mentoring
Direct implementation of program-specific information through education, technology, organizational methods and procedures
Influence enhancements to business processes and system infrastructure to improve data quality, availability and access
Manage customer contact and participate in internal and external health industry development efforts
Analyze complex data for trends, provide in-depth interpretations and perform root cause analysis
Consult regularly with clients to ensure progress meets expectations and obtain additional information
Translate complex data into constructive information and make recommendations
Define, identify, develop and implement information products supporting strategic business and operational planning
Illustrate complex information clearly and concisely
Develop and conduct presentations and consultations for customers and internal business areas
Provide workgroup support on projects
Educate customers on the value, use and interpretation of information products
Influence changes and enhancements to business processes, policies and system infrastructure
Evaluate available software and data to deliver better business solutions

Requirements

What you’ll need

QNXT is required
Excel is required
6+ months of experience reading and understanding claims
Working knowledge of reading and reviewing claim and coding types
6+ months of intermediate to advanced Excel knowledge, including manipulating large lines of data and using formulas
6+ months of QNXT experience
Excellent verbal and written communication skills
MS Office, including Word, Access DB and InfoPath
Extensive experience with databases and interpretation and manipulation of related data
Healthcare background
Bachelor's degree, technical certification or equivalent work experience
MS SQL experience is a plus
Remedy (Ticket Tracking) experience is a plus
3–5+ years of data interpretation and analysis experience is preferred
Qualified applicants with arrest or conviction records will be considered in accordance with federal, state and local laws

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, based on eligibility