Senior Analyst – Claims Business Analysis

CVS Health

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

Posted 11/11/2026full-timeUnited StatesSenior💰 $46,988 - $102,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in data interpretation and analysis, with a strong focus on QNXT and Excel for managing complex datasets. Proven ability to develop consultative relationships and communicate effectively with internal and external stakeholders.

Highest-signal resume keywords

QNXT ExperienceAdvanced Excel SkillsData Interpretation and AnalysisHealthcare BackgroundCommunication Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data AnalysisData ManipulationTest Plan DevelopmentSolution IntegrationClaims ReviewDatabase ManagementInformation Product DevelopmentTrend AnalysisRoot Cause AnalysisPresentation Skills

Soft Skills

LeadershipCoachingMentoringConsultative Relationship BuildingVerbal Communication

Tools & Technologies

MS OfficeExcelQNXTMS SQLRemedy

Certifications & Qualifications

Bachelor's DegreeTechnical Certification

Industry Keywords

HealthcareClaims ProcessingData QualityService DeliveryBusiness Process Improvement

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
Design 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 business process and system infrastructure enhancements to improve data quality, availability and access
Manage customer contact and participate in health industry development efforts
Analyze complex data for trends, interpretations and root causes
Consult with clients to ensure progress meets expectations and obtain additional information
Translate complex data into constructive information and make recommendations
Define, develop and implement information products supporting strategic business and operational planning
Present complex information clearly and concisely
Develop and conduct presentations and consultations
Provide workgroup support on projects
Educate customers on the value, use and interpretation of information products
Evaluate software and data to deliver improved business solutions

Requirements

What you’ll need

QNXT is REQUIRED
Excel is REQUIRED
6+ months working 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 Info Path
Extensive experience with databases and interpretation and manipulation of related data
Healthcare background
MS SQL experience is a plus
Remedy (Ticket Tracking) experience is a plus
3–5+ years of data interpretation and analysis experience
Bachelor's degree, technical certification or equivalent work experience
Willingness to comply with the hybrid work policy when living near a suitable work location
40 anticipated weekly hours

Benefits

Comp & perks

CVS Health bonus, commission or short-term incentive program in addition to the base pay range
Medical coverage
Dental coverage
Vision coverage
Paid time off
Retirement savings options
Wellness programs
Other resources supporting physical, emotional, and financial well-being