Eligibility Analyst

CVS Health

Eligibility Analyst managing Pharmacy Benefit Management processes. Ensuring data accuracy and collaborating with teams for efficient service delivery remotely.

Posted 4/28/2026full-timeRemote • Idaho, Texas • 🇺🇸 United StatesJuniorMid-Level💰 $43,888 - $85,068 per yearWebsite

About the role

Key responsibilities & impact

manage Pharmacy Benefit Management processes
ensure timely and accurate eligibility data processing
collaborate with cross-functional teams to improve service delivery

Requirements

What you’ll need

2+ years in Pharmacy Benefit Management or Healthcare Eligibility, Insurance, IT, or Benefits Environment
ability to manage multiple tasks/priorities/projects
3+ years in eligibility or other relevant background (preferred)
2+ years customer service or client-facing experience in a fast-paced environment (preferred)
proficiency in processing accurate and timely Eligibility data
experience in EDI (Electronic Data Interchange)
understanding of the PBM industry
experience in a healthcare client facing role
knowledge of ANSI X12 834 Data Documents
familiarity with RxClaim and/or AS400

Benefits

Comp & perks

medical, dental, and vision coverage
paid time off
retirement savings options
wellness programs
additional resources, based on eligibility

ATS Keywords

✓ Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

Pharmacy Benefit ManagementEligibility data processingElectronic Data InterchangeANSI X12 834 Data DocumentsRxClaimAS400

Soft Skills

manage multiple tasksprioritizationproject managementcustomer serviceclient-facing experience