Description

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 Revenue Cycle Analyst reports directly to the Senior Manager, Reimbursements Concepts, Inc (RCI). This is a client-facing position, wherein you will support external clients. This person will play an integral role in delivering cost-effective solutions for our external clients through reporting, analytics, and database management, delivering on client expectations for RCI's services.

This person is responsible for completing all internal RCI reporting requirements, as well as external client reporting needs, to ensure client and departmental financial expectations are met or exceeded.

• Conducts data analysis and performs financial reviews to identify opportunities for revenue cycle improvement, including areas such as coding, billing, and reimbursement.
• Coordinates with cross-functional teams, including finance, billing, and coding departments, to identify and resolve revenue cycle issues, ensuring accurate and timely reimbursement.
• Under close supervision monitors key performance indicators (KPIs) and metrics related to revenue cycle management, providing regular reports and insights to management for decision-making and performance evaluation.
• Assists in the development and implementation of revenue cycle improvement initiatives, such as process enhancements, technology solutions, and training programs.
• Conducts audits and reviews to ensure compliance with coding, billing, and reimbursement regulations, identifying areas of non-compliance and implementing corrective actions.
• Coordinates with revenue cycle stakeholders to optimize revenue capture, streamline workflows, and improve operational efficiency.
• Performs revenue cycle month end close processes and reporting; Meets and or exceeds our clients' month end reporting expectation of 3-5 business days post close.

To be successful in this role, this person will utilize home infusion software, Microsoft Excel, payer portals, and other systems, as well as their critical thinking skills, to ensure a high quality of performance. This person will also need analytical skills and verbal and written communication skills, in order to effectively communicate with internal staff and external client personnel via telephone and email.

Required Qualifications

• 3+ years of experience in revenue cycle management operations.
• 3+ years of experience in healthcare.
• Working knowledge of Medicare, Medicaid and Third-Party Insurance payers and reimbursement guidelines.
• Strong competency with Microsoft Office software applications (Outlook, Word, Excel).

Preferred Qualifications

• Excellent attention to detail, as well as the ability to handle stress and meet deadlines.
• Strong organizational skills, as well as the ability to manage multiple assignments and meet deadlines
• Knowledge of Home Infusion, DME (Durable Medical Equipment) and/or Specialty Pharmacy billing.
• Excellent customer service skills.
• Experience with medical billing and/or collections, or experience with accounts receivable (AR) and/or healthcare reimbursement systems.
• Analytical experience, including root cause analysis.
• Bachelor's degree in Business or related field.

Education

• High school diploma or GED.

Anticipated Weekly Hours
40

Time Type
Full time

Pay Range

The typical pay range for this role is:

$43,888.00 - $85,068.00

This 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 our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

For more information, visit https://jobs.cvshealth.com/us/en/benefits

We anticipate the application window for this opening will close on: 02/28/2026

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