Member Data Transition Analyst

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 and requires a high level of attention to detail, timeliness, and accountability to ensure seamless member transitions and data integrity.

• 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.

• 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).

• 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.

High School diploma required.

Anticipated Weekly

Hours:

40

Time Type:
Full time

Pay Range: $43,888.00 - $85,068.00 (base hourly or annual). This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Comprehensive benefits package includes 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.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.