Senior Analyst, Rules Hub

Job DescriptionCandidates can apply from any state however are preferred to reside in Illinois, Texas and Arizona. Working hours will be 8am-5pm. No weekends or holidays will be required. Occasional travel may be required. CVS Health has an exciting opportunity to join our PBM Finance organization as Senior Analyst, Rules Hub. The Rules Hub team manages the Finance and Underwriting pricing rules library. This role will perform a variety of cross-functional strategic and operational tasks including but not limited to new rule implementations, testing and verification of new rules, and process governance. The successful candidate will be responsible for development, implementation, and administration of rules in coordination with multiple business partners, stakeholders, and IT project management teams. CVS Health strives to continuously innovate around improved operational efficiency and this position will leverage your financial, technical, and creative aptitude to help find and develop new solutions to old problems. The ideal candidate will have a technical or operational background in finance systems or processes, possess strong analytical problem-solving skills, and work well within a close-knit team framework. Key Responsibilities Work with Rules Hub stakeholders to define and manage rule implementations, objectives, test plans, and operational usage Support governance process for cross-functional teams Partner with wide variety of business partners at all levels of the organization Provide guidance and insight to stakeholders Collaborate with technical partners to ensure correct application of business language Work in a fast-paced environment to meet all project deadlinesRequired Qualifications 3+ years of relevant professional experienceCOVID RequirementsCOVID-19 Vaccination RequirementCVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated. You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.Preferred Qualifications Experience with highly complex, inter-connected systems and business flows/processes Technical writing skills Analytical skills Experience or strong ability to work with SQL and an enterprise data mart Knowledge of pharmacy claims, claim adjudication and data file transmission Process Improvement experienceEducationBachelor's degree or equivalent experience being 3+ years of relevant professional experience.Business OverviewBring your heart to CVS HealthEvery one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver.Our Heart At Work Behaviors support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.

Created: 2025-11-15