Insurance AR Resolution Analyst, Revenue Cycle

Position Summary

The Third‑Party Revenue Cycle Management (RCM) department at CVS Health supports CVS Retail pharmacies and is seeking a full‑time Insurance AR Resolution Analyst. The analyst will perform advanced, payer‑level analysis to maximize collections, reduce bad debt, and ensure compliance with federal, state, and CVS Health requirements.

• Apply advanced analytical and statistical techniques to identify root causes of third‑party payer issues.
• Validate data accuracy and completeness using SQL and internal reporting tools.
• Translate complex findings into clear, actionable recommendations for leadership.
• Collaborate cross‑functionally to prevent recurrence of payer issues.
• Maintain regular and predictable attendance and perform additional duties within role scope.

• Knowledge of third‑party revenue cycle operations, payer behavior, and liability resolution in commercial and Medicaid environments.
• Proficiency in advanced analytical and root‑cause diagnosis techniques.
• Solid working knowledge of MS operating systems, MS Office applications (Word, Excel, Access, PowerPoint), process‑mapping software (Microsoft Project, Visio), SQL, and other data‑mining tools.
• Experience with Micro Strategy, SQL, and related tools to validate and reconcile financial data.
• Ability to develop leadership‑ready documentation and recommendations.
• Independent evaluation of complex problems and recommendation of effective solutions.
• Influence decisions through data‑driven insights rather than authority.
• Prioritize and organize work to complete projects or assignments on schedule.
• Work individually or within a team to identify, define, evaluate alternatives, and implement practical, cost‑effective solutions.
• Present recommendations formally to management.
• Handle sensitive financial and patient data in compliance with HIPAA.
• Maintain composure and perform duties under stressful situations.
• Excellent verbal and written communication and ability to interact professionally with a diverse group.
• Work in strict confidence, ensuring confidentiality of patient and medical records, in accordance with company and HIPAA privacy guidelines.
• Operate effectively in ambiguous or evolving environments.

• Accounts receivable or payer‑facing experience.
• Experience supporting system enhancements or process improvement initiatives.
• Strong presentation and stakeholder communication skills.
• 3 to 5 years of analytics experience; 2+ years required.

• High School Diploma or General Equivalent Development (GED).
• Preferred:
  Bachelor’s Degree.

• Anticipated weekly hours: 40
• Time type:
  Full time

The pay range for this role is $43,888.00 to $ annually. The actual base salary will be based on experience, education, geography, and other factors. The position is eligible for a CVS Health bonus, commission, or short‑term incentive program in addition to the base pay.

The full‑time position offers a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of employees and families. Benefits include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources based on eligibility.

Application window for this opening will close on July 31, 2026.

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