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



















