CVS Health

Clinical Requirement Analyst Carelon

CVS Health$60K — $132K *
US-AnywhereRemote in Texas, US
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • 2+ years in account management or client-facing roles
  • 2 years experience with RxClaim/AS400, focused on formulary management
  • 5+ years relevant work experience
  • High School Diploma/GED required; Bachelor's preferred
  • Experience with Salesforce.com preferred

Responsibilities

  • Collaborate with departments to execute client requests accurately
  • Engage with client partners to understand benefit plan design
  • Translate client requirements for CVS Health operational teams
  • Facilitate meetings to provide updates and make benefit setup decisions
  • Work independently in a fast-paced environment

Benefits

  • Comprehensive medical, dental, and vision coverage
  • Paid time off and retirement savings options
  • Wellness programs and resources
  • Support for physical, emotional, and financial well-being
Full Job Description
Position Summary

In this position, you will collaborate closely with multiple departments to ensure that client requests are executed accurately and efficiently. Additionally, you will be responsible for addressing any potential client configuration concerns that may arise. It is essential to demonstrate a high level of client service by ensuring accuracy, responsiveness, reliability, and professionalism in every interaction.

You will accomplish this by:
• Forming relationships with key client partners through a consultative approach to fully understand clinical components of client benefit plan design
• Translating client requirements into operational formats for CVS Health teams such as Clinical Configuration, Quality Analysis and Testing
• Facilitating internal and external meetings and presentations to provide status updates and make decisions relative to client benefit setup

You will operate in a dynamic environment with tight deadlines, so the ability to operate autonomously and make decisions is imperative.

Required Qualifications
  • 2 or more years of experience in account management, benefit plan design, or related client-facing field
  • At least 2 years of experience in RxClaim/AS400 with a focus on formulary and utilization management preferred
  • 5 + years of relevant work experience


Preferred Qualifications
• Experience working in Salesforce.com
• PBM Med D Industry Experience
• Clinical Understanding of Formulary and Utilization Management
• Demonstrated proficiency with Microsoft Excel

Education
  • High School Diploma/GED
  • Bachelor's degree preferred/specialized training/relevant professional qualification.


Anticipated Weekly Hours
40

Time Type
Full time

Pay Range

The typical pay range for this role is:

$60,300.00 - $132,600.00

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.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full-time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 06/30/2026

About CVS Health

Omnicare provides comprehensive pharmaceutical services to patients and providers across the United States. As the market-leader in professional pharmacy, related consulting and data management services for skilled nursing, assisted living and other chronic care settings, Omnicare leverages its unparalleled clinical insight into the geriatric market along with some of the industry's most innovative technological capabilities to the benefit of its long-term care customers. Omnicare also provides key commercialization services for the bio-pharmaceutical industry through its Specialty Care Group.

CVS Health Careers

Joining CVS Health presents a unique opportunity to advance your career in a company where innovation, leadership, and growth go hand in hand. As a leader in the healthcare industry, CVS Health is more than just a pharmacy. We are a team of professionals dedicated to improving lives and optimizing health outcomes.

Work You’ll Do

At CVS Health, you will be part of a culture that values diversity and inclusivity, fostering an environment where every team member’s contribution is valued. Engage in meaningful work that directly impacts lives, driving innovation in healthcare services and solutions.

Explore Job Opportunities

Whether you’re looking for a position in pharmacy services, corporate leadership, or in-store management, CVS Health offers a variety of employment opportunities that will help you harness your skills and thrive professionally. Our job opportunities span across a wide range of professional fields and geographic locations, ensuring that your career at CVS Health aligns with your professional goals and lifestyle.

Internship Programs

Kickstart your career with CVS Health through our internship programs. These opportunities are designed for ambitious students eager to develop their skills in a real-world setting. Internships at CVS Health are not only about gaining work experience but also about making meaningful contributions to our ongoing projects.

Professional Growth and Development

CVS Health is committed to the professional growth of our employees. With access to cutting-edge technology, industry-leading experts, and comprehensive diversity training, our team members are equipped to lead and innovate. We support career advancement through professional development programs, leadership training, and opportunities for networking and internal mobility.

Benefits and Culture

Our employees enjoy a range of benefits that reflect our commitment to their well-being and success. From health and wellness benefits to professional development programs, CVS Health is dedicated to ensuring our team members have the resources they need. Our inclusive culture encourages collaboration and continuous learning, making CVS Health a place where you can grow and succeed.

Join Our Team

Ready to take the next step in your career? Explore the open positions at CVS Health that match your skills and interests. We are continuously hiring and looking for passionate, curious, and solution-driven team players.

Stay Connected

Keep up to date with the latest news, career tips, and industry insights from CVS Health. Personalize your experience by subscribing to job alert emails, tailored to your preferences and professional interests. Discover the rewarding opportunities that await at CVS Health, where your career development is always a priority.

Search CVS Health Jobs

Don’t just look for a job. Look for a place where you can be a part of something bigger. Visit our careers page to find the position that’s right for you and join a team that values innovation and leadership in healthcare.

READ CAREERS BLOG

Stay ahead in your career with insights from those who know CVS Health best – our team. Learn from their experiences and get insider tips that can help you succeed in your next interview, craft a standout resume, and build a career you’re proud of at CVS Health.
Learn more about CVS Health
Size
300,000 employees
Market Cap
$122 billion
Industry
Net Income
$7.1 billion
Founded
1963
5 Year Trend
+10.5%
Revenue
$268.7 billion
NASDAQ

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