Senior Analyst, Medicare Member Advocate

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.

Summary As a Medicare Member Advocate   supporting the Allina Health | Aetna plan,   you will engage with members , by telephone or in person,   to support them in understanding and getting the most value from their Medicare plan , enhancing member experience and retention.   Apply problem solving skills   while collaborating with internal colleagues and external entities to bring complex issues to resolution.   Drive member engagement and retention by delivering a positive member experience through all interactions.   Define and track program success measures,   identify   trends, and   participate   in designing and implementing solutions .     Conduct audit and monitoring activities as part of service oversight   Prepare and deliver training topics for the market team and other organizational partners to address education gaps and improve member experience and retention.   Provide   accurate ,   timely   and insightful analysis in response to ad hoc requests   Participate in member outreach to drive plan performance.   Support community development, member education, and other activities as requested by the Director of Medicare Operations and as customer service demands allow .    Examples may include annual member meetings or other member-focused events.   In this role you will work   in a hybrid environment with some days in the Allina Health | Aetna joint venture office and others working from home.

Minimum of   2+ years of experience   in Medicare insurance, including Medicare Advantage and/or Part D    Minimum of   2+ years of customer service or member-facing experience , preferably in a healthcare or insurance environment    Demonstrated ability to   communicate effectively   with diverse audiences through telephone, virtual, written, and in‑person interactions    Experience delivering   live and virtual presentations , trainings, or educational sessions    Proven ability to   resolve complex member issues   by collaborating cross‑functionally with internal teams and external partners   Strong   analytical and problem‑solving skills , with the ability to   identify   trends and support performance improvement initiatives    Proficiency   with   Microsoft Office applications   (Outlook, Word, Excel, PowerPoint)    Ability to work effectively in a   hybrid work environment , managing time independently while meeting performance expectations    Ability to handle   confidential and sensitive information   in accordance with   HIPAA and company policies   Preferred Qualifications   Bachelor’s degree in   Healthcare Administration, Public Health, Business, Social Services, or a related field. Knowledge of   Medicare quality programs   such as Stars Ratings, CAHPS, HEDIS, or retention initiatives   Experience supporting   member engagement, outreach, or community-based programs  Demonstrated experience developing or delivering   training materials   to internal teams or external partners     Education Bachelor's degree or equivalent work experience Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $46,988.00 - $112,200.00 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