Member Data Transition Analyst
CVSHealth
IT
Illinois, USA · Arizona, USA · Dallas, TX, USA · Remote
USD 43,888-85,068 / year
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll 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 – helping to simplify health care one person, one family and one community at a time.
Position Summary
The Member Data Transition Analyst is responsible for accurately loading, processing, requesting, and transmitting member related data files between internal systems and external Pharmacy Benefit Managers (PBMs). This role operates in a fast‑paced, high‑volume environment, especially during peak season, and requires a high level of attention to detail, timeliness, and accountability to ensure seamless member transitions and data integrity.
Primary job duties and responsibilities:
Prepare, validate, and load member data files in accordance with established processes, layouts and schedules
Coordinate internal handoffs of files to downstream teams
Review files for completeness, formatting accuracy, and data integrity prior to release
Track timelines and flag risks or delays early
Maintain clear internal documentation and status updates throughout the transition lifecycle
Support issue resolution by identifying root causes and partnering with internal stakeholders
Adhere to established controls, deadlines, and audit requirements
Required Qualifications
1–3 years of experience in PBM or healthcare administration
Experience working with large data files and external vendors preferred
Strong attention to detail with a proven ability to meet tight deadlines
Ability to work effectively in a fast‑paced, high‑volume environment
Proficient in Microsoft Excel (including sorting, filtering, and basic analysis)
Preferred Qualifications
Familiarity with file formats such as CSV, Excel, and fixed‑width files
Proficiency in Microsoft Access
Basic understanding of data transmission methods (SFTP, secure file exchange)
Familiarity with PBM data concepts (claims, prior authorizations, accumulations, open refill transfers)
Ability to troubleshoot file errors, formatting issues, or data mismatches
Prior experience working in a regulated or compliance‑sensitive environment
Education
High School diploma required
Anticipated Weekly Hours
40Time Type
Full timePay Range
The typical pay range for this role is:
$43,888.00 - $85,068.00This 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.
Additional details about available benefits are provided during the application process and on Benefits Moments.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.