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Workforce Management Analyst, Claims Operations
CVS Health. Analyze claims receipts, production, inventory, aging, staffing, productivity, and utilization trends .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in workforce management, operations analytics, and capacity planning, with a strong focus on translating operational data into actionable insights and recommendations. Proficient in developing forecasting models and improving resource utilization and workforce planning processes.
Highest-signal resume keywords
Workforce ManagementOperations AnalyticsCapacity PlanningForecastingData Analysis
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims OperationsCapacity ModelsScenario ModelingReporting ToolsWorkforce PlanningData AnalysisForecastingUtilization TrendsProductivity AnalysisWorkload Management
Soft Skills
Analytical SkillsProblem-SolvingDecision-MakingCommunicationCollaboration
Tools & Technologies
Workforce Management SystemsSpreadsheetsAnalytical Platforms
Industry Keywords
Claims InventoryOperational PrioritiesStaffing AllocationWorkload BalancingResource Utilization
About the role
Key responsibilities & impact- Analyze claims receipts, production, inventory, aging, staffing, productivity, and utilization trends
- Develop and maintain Claims Operations demand and capacity forecasts
- Build and maintain capacity models comparing productive capacity with projected claims demand and inventory requirements
- Support claims inventory and forecasting across claims work types and inventory segments
- Monitor workforce utilization and evaluate production and non-production activities
- Evaluate workload distribution and identify opportunities to improve staffing allocation, workload balancing, productivity, and specialized claims skills utilization
- Partner with Claims leadership to align capacity with operational priorities
- Perform scenario modeling for staffing, overtime, vendor capacity, training/ramp assumptions, utilization, automation, productivity, and incoming claims volume
- Develop recurring reporting and workforce insights for Claims leaders
- Translate workforce and operational data into recommendations
- Partner with cross-functional stakeholders on staffing and workforce strategies
- Improve forecasting, reporting, workload management, resource utilization, and workforce planning processes
- Support workforce planning methodologies, metric definitions, documentation, and governance
Requirements
What you’ll need- Minimum of 3 years of experience in workforce management, operations analytics, capacity planning, forecasting, claims operations, or a related operational role
- Experience analyzing operational data and translating findings into actionable recommendations
- Demonstrated proficiency working with data, spreadsheets, reporting tools, workforce management systems, or similar analytical platforms
- Strong analytical, problem-solving, and decision-making skills
- Strong communication, information management, and organization skills
- Ability to collaborate effectively across operational and functional teams
- Proactive self-starter who takes ownership, quickly learns new concepts, identifies opportunities for improvement, and independently drives issues toward resolution
- High school diploma or GED
Benefits
Comp & perks- Medical coverage
- Dental coverage
- Vision coverage
- Paid time off
- Retirement savings options
- Wellness programs
- Other resources supporting physical, emotional, and financial well-being
- CVS Health bonus, commission or short-term incentive program in addition to base pay