Renewal and Reporting Analyst

This is a fully remote position, open to applicants in Alabama, +46 more locations.

📋 Description

• Conducts plan benefit reviews, interpretations, and systematic configurations for customer service, claims, enrollment, billing, and reporting.

• Employs Meritain’s proprietary system for the analytical coding of detailed customized plans.

• Formulates and implements strategies that align with client expectations and performance guarantee agreements.

• Provides consultation and guidance to internal stakeholders on intricate benefit administration matters.

• Offers insights on methods to reduce manual processing and minimize client disruptions.

• Suggests plan design and processing improvements during client interactions.

• Evaluates benefit provisions to ensure compliance with state and federal regulations.

• Reviews summary plan descriptions and associated documents prepared by clients, whether internally or externally.

• Collaborates on analyses and recommendations for complex account and benefit structures.

• Carries out system setup and mapping of client-specific benefits to industry coding standards, including ICD-10, place of service, and healthcare reform.

• Gathers and evaluates feedback from internal and external customers to enhance the renewal process.

• Utilizes Salesforce for cross-departmental communication and status updates at the executive level.

⛳️ Requirements

• Minimum of 2 years of experience in healthcare, particularly in quality, renewals, client advocacy, and/or account management.

• Proven understanding of medical terminology.

• Availability to work Monday through Friday from 8 am to 5 pm, with the potential to extend hours during peak periods.

• Prior experience with Salesforce.

• Familiarity with various data systems, including DOS systems.

• Capability to research and investigate beyond the initial solution to identify the underlying issue.

• Strong analytical and problem-solving abilities.

• Capacity to remain adaptable and focused in high-pressure situations.

• Excellent communication skills, with the ability to convey complex ideas clearly and succinctly.

• Outstanding organizational skills and the ability to prioritize multiple tasks effectively while maintaining high-quality results.

• Keen attention to detail and accuracy, with a focus on overall project deliverables.

• High school diploma or GED required.

🏝️ Benefits

• CVS Health bonus, commission, or short-term incentive programs in addition to the base salary range.

• Medical coverage.

• Dental coverage.

• Vision coverage.

• Paid time off.

• Retirement savings options.

• Wellness programs.

• Additional resources that support physical, emotional, and financial well-being.