Analyst, Medicare FP&A

Posted 2hrs ago

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Job Description

Analyst ensuring the compliance and operational integrity of Medicare Part D programs at CVS Health. Collaborating with various departments to optimize financial performance and data governance.

Responsibilities:

  • Serve as a key partner for ensuring accuracy, compliance, and operational integrity of Medicare Part D programs.
  • Assist with P2P monthly process, DIR Reporting, PDE Reporting functions and audit support.
  • Partner with Compliance, Finance, Audit, Pharmacy Operations, and external stakeholders including the PBM.
  • Ensure alignment with evolving CMS Part D guidance by coordinating with Compliance and Operational Integrity teams.
  • Synthesize complex data into clear, meaningful insights for senior leadership and Compliance partners.
  • Assist in analytical reviews related to CMS PDE submissions and reconciliations to paid claims data.
  • Identify opportunities to optimize accuracy, improve internal controls, and streamline operational processes for Part D PDE submissions.

Requirements:

  • 2+ years of experience in Medicare Part D accounting, financial operations, or regulatory compliance.
  • Strong financial reporting and financial analysis experience.
  • Proficiency with SAS/SQL, Python, GCP, and advanced data management tools.
  • Demonstrated ability to interpret complex datasets and translate findings into actionable recommendations.
  • Strong analytical, mathematical, and problem‑solving abilities.
  • 2+ years of Medicare Part D finance experience with expertise in data mining, analytics, and operational improvement (preferred).
  • Experience supporting or leading compliance activities within a health plan or regulated environment (preferred).
  • Bachelor's degree in Finance, Accounting, or a related discipline, or equivalent experience.

Benefits:

  • Affordable medical plan options
  • 401(k) plan (including matching company contributions)
  • Employee stock purchase plan
  • No-cost wellness screenings
  • Tobacco cessation and weight management programs
  • Confidential counseling and financial coaching
  • Paid time off
  • Flexible work schedules
  • Family leave
  • Dependent care resources
  • Colleague assistance programs
  • Tuition assistance
  • Retiree medical access