Sr Analyst, Plan Sponsor

Job description

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate.

And we do it all with heart, each and every day.

These positions are set to be fully remote after the candidates have gone through training with the plan sponsor (which must be done in-person at the CT Teachers' Retirement Board office)

Position Summary
The Plan Sponsor Liaison [PSL] will serve as the Dedicated Single Point of Contact for Aetna Medicare Advantage servicing to our CT Teachers' Retirement Board Plan Sponsor benefit administration personnel while supporting Group Center of Excellence Call Center in additional to all Aetna back-office teams.

Controls daily communication between departments or individual policyholders regarding benefit plan administration.

Directs workflow to respond, manage, and resolve escalated and complex global issues for Claims/Calls, PSS, and health plan back-office operations.

The PSL dedicated role has responsibility for a random ID card quality review, standard customization requests and updates to the Plan Sponsor Profile Page, customer reporting for membership and patterns and trends of inquires.

A Brief Overview

Controls daily communication between departments or individual policyholders regarding benefit plan administration.

Directs workflow to respond, manage, and resolve escalated and complex global issues for Claims/Calls, PSS, Aetna Medicare Account Management Team, Aetna Commercial Account Management Teams and back-office departments regarding benefit plans, eligibility, claims, billing, and general benefit plan administration.

What you will do 

Assists with establishing and implementing results-based programs and innovative initiatives for the Plan Sponsors, under general supervision.

Applies in-depth knowledge of the Plan Sponsor / back-office areas to offer feedback for decisions and innovation strategies that enhance organizational growth, visibility, member retention and customer satisfaction and trust.

Examines escalated member-specific issues and/or broader plan administration matters as the single point of contact to provide swift resolution.

Develops complex customer service account management plans for assignment and implements plan for dedicated account.

Coordinates service delivery of dedicated account by attending implementation planning and process meetings, while supporting customer.



Responsible for ID card Quality, timeliness, and Performance Guarantee for assigned dedicated account.

Responsible for Plan Sponsor Profile Page, supports Group Contact Center of Excellence for projects, workflow support and to enhance the member experience and customer satisfaction.

Assists with Member Open Enrollment Meetings and customer site visits, including local union meetings with CT Teachers' Retirement Board staff.

Proactively resolve issues with account managers, sales representatives, and other Aetna back-office teams as appropriate.

Identifies most urgent business problems, obtains necessary information, accurately identifies root causes, and generates solutions.

Initiates and maintains partnerships with others throughout the organization.



Encourages cooperation by promoting common goals and building trust.

Inspires, supports, and initiates cross-functional activities.

Required Qualifications
For this role you will need Minimum Requirements
-3 years experience in Group Medicare Business and Medicare Advantage Plans and Products

-Strong Leadership and Communication skills [verbal, written and presentation]

-Critical thinking, problem solving and decision-making skills

-Demonstrate prior experience in consultative skills and the ability to influence -constituents for positive outcomes and initiatives

-Customer Service experience required

-Working knowledge of execution and delivery (planning, delivering, and supporting) skills 

-Working knowledge of business intelligence 

-Ability to work with cross-functional business units and vendors to support the customer’s needs; promotes collaboration among constituents and represents a professional image of the company

Preferred Qualifications
Strong project management skills are strongly preferred

Claim adjudication knowledge is strongly preferred

Adept at growth mindset (agility and developing yourself and others) skills 

5-7 years work experience

Education
Bachelor's degree or equivalent experience

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$46,988.00 - $112,200.00

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 our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be.

In addition to our competitive wages, our great benefits include:

Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.

No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.

Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

For more information, visit 

We anticipate the application window for this opening will close on: 09/19/2025

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Required Skill Profession

Business Operations Specialists