Clinical Prior Authorization Analyst
CVS Health - Raleigh, NC
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Weu2019re building a world of health around every individual u2014 shaping a more connected, convenient and compassionate health experience. At CVS Healthu00ae, youu2019ll 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 u2013 helping to simplify health care one person, one family and one community at a time. Position Summary The Data Analyst will be responsible for providing business analysis and development of analytic solutions supporting the Prior Authorization program. A successful candidate will develop a solid understanding of Prior Authorizationu2019s programs and products and utilize data querying (SQL/Python) and visualization (Tableau) tools to advance business objectives. The Data Analyst will leverage advanced querying expertise and a high degree of attention to detail to translate complex data into clear, actionable insights that support data-driven decision-making. Required Qualifications + 1 Year experience with data extraction, reporting, and analyzing metrics. + 1 year experience with MS Office Products, SAS and/or other analytical tools. + Proficient with SQL and Python. + Experience with data visualization tools such as Tableau to create dashboards for non-data users. + Ability to effectively communicate and present to management team. + Ability to prioritize tasks in order to meet deadlines and manage competing demands. Preferred Qualifications + Experience with healthcare or PBM data. + Experience working with cloud data. Education + Bachelors degree in related field or equivalent experience. Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $43,888.00 - $122,400.00 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. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. 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 fullu2011time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial wellu2011being 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: 05/16/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.CVS Health is an equal opportunity/affirmative action employer, including Disability/Protected Veteran u2014 committed to diversity in the workplace.
Created: 2026-05-08