Pharmacy Eligibility/Claims Business Analyst

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary This is a Scrum Team role that will be a member of the Medicare / Medicaid / Exchange Enrollment Configuration team tasked with developing purpose-built capabilities for our NextGen platform. This role is responsible for delivering analysis and requirements of oversight for various Membership Integration and Reconciliation Stories within an Agile framework.  Required Qualifications 2-4 years of experience as a Business Analyst (or equivalent) supporting Medicare and Medicaid programs in an operational and/or technology context   2-3 years experience as a business analyst/project manager 2-4 years experience with PLSQL, SQL Server and / or Oracle, SQL Server databases 4-6 years experience with software development lifecycles, having owned: detailed analysis (data / process analytics, process improvements, process flow creation, requirements gathering, requirements traceability through the software delivery lifecycle, including post-production checkout / reviews. 4-6 years experience with extensive analytical techniques (Scenarios and Use-cases, Scope Modeling, Functional Decomposition, Interviews, Observation / Job Shadowing, Focus Groups, Acceptance and Evaluation, Sequence Diagrams, User Stories, Brainstorming, Storyboarding, Prototyping, Event Analysis, Business Rule Analysis, Requirements Workshops, Risk Analysis, Root Cause Analysis) Preferred Qualifications Analytical experience supporting enrollment and eligibility platforms.  Experience with Pharmacy eligibility/claim transactions  4-6 years experience with software development lifecycles, having contributed to estimation (resource planning), capacity planning, requirement gathering, testing framework and strategy, and post implementation review. 2-4 years experience with Medicare, Medicaid or Exchange Enrollment, and Pharmacy Operations Leadership / Creating Accountability (Intermediate)  Leadership / Developing and Executing Strategy (Intermediate)  Leadership / Driving a Culture of Compliance (Foundational)  General Business Consulting for requirement gathering and documentation (Advanced)  Leadership / Anticipating and Innovating (Advanced)  Technology / Justifying the Business Case (Advanced)  Experience with enterprise-wide and / or cross-functional large-scale initiatives with high degree of complexity.  Demonstrated experience successfully implementing change in complex organizations.  Demonstrated relationship management skills at the senior level; capacity to quickly build and maintain credible relationships at varying levels of the organization simultaneously.  **We support a hybrid work environment. If selected and you live near a suitable work location, you may be expected to comply with the hybrid work policy. Under the policy, all hires for in-scope populations should be placed into a hybrid or office-based location, working onsite three days a week.  Aetna Service Operations office/hub locations will be discussed with the selected candidate.**   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: $54,300.00 - $145,860.00 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