CVS Health

Bringing our heart to every moment of your health.

Business Analyst – Underwriting Quality Management

Business AnalystBusiness AnalystFull TimeRemoteTeam 10,001+Since 1963H1B No SponsorCompany SiteLinkedIn

Location

Arizona

Posted

25 days ago

Salary

$47.0K - $102K / year

Bachelor Degree1 yr expEnglishSQLTableau

Job Description

• Supporting the CVS Health PBM Underwriting team by completing quality audits of financial documentation outlined in the contracts of CVS Health customers. • Aggregating discrepancies, identifying trends, and reporting findings to Underwriting senior leaders. • Ensuring adherence to underwriting guidelines, regulatory requirements, and risk appetite while continuously improving performance through actionable insights and data analysis. • Leveraging data to identify trends and opportunities for continuous improvement within the quality assurance (QA) framework for underwriting practices. • Designing and maintaining data-driven KPIs and quality scorecards to monitor underwriting performance, consistency, and compliance. • Analyzing underwriting data to detect patterns of procedural errors and developing actionable solutions. • Collaborating with underwriting, data science, and audit teams to implement quality improvement initiatives. • Driving automation and reporting tools to streamline quality reviews and enhance data transparency. • Presenting quality insights, metrics, and recommendations to senior leadership in a clear, data-supported format.

Job Requirements

  • Proven experience with data analysis tools (e.g., SQL, Excel, Power BI, Tableau).
  • Strong time management skills, evidenced by experience being accountable to multiple deliverables on staggered deadlines.
  • Effective communication skills in both formal and informal written communications and speech at all levels of an organization.
  • Strong attention to detail, evidenced by accurately entering data into spreadsheets, carefully following instructions to complete tasks, and creating records and reports for later reference.
  • 1+ year of audit or underwriting experience, including at least 1 year in a quality assurance or leadership capacity.
  • Demonstrated ability to lead cross-functional initiatives and drive process improvements using data-driven insights.
  • Lean Six Sigma or similar quality/process improvement certification.
  • 1+ year of experience using Salesforce.
  • Background in PBM industry.

Benefits

  • Affordable medical plan options
  • 401(k) plan (including matching company contributions)
  • 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.

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