Analyst, Medicare FP&A

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 Analyst serves as a key partner for ensuring the accuracy, compliance, and operational integrity of the organization’s Medicare Part D programs -- Medicare Advantage, SSIC, DSNP, and MMP programs. In this role, you will assist with the P2P monthly process, DIR Reporting, PDE Reporting functions and audit support. This individual contributor role will routinely partner with Compliance, Finance, Audit, Pharmacy Operations, and external stakeholders including the PBM to resolve complex issues, strengthen operational controls, and ensure adherence to CMS standards for our Part D programs. The Analyst also contributes to automation, data governance, and ETL optimization initiatives to enhance efficiency and reliability of enterprise reporting and accuracy of Part D. Medicare Part D & CMS Compliance • P2P Receivable Review: This will include entering payments received from other Part D Contracts and tracking and following up on open receivables. • Assist in the annual DIR Reporting process. • Assist in managing resolution of Acumen PDE tickets, ensuring timely and accurate responses and provide reporting to management. • Ensure alignment with evolving CMS Part D guidance by coordinating with Compliance and Operational Integrity teams and our PBM. • Synthesize complex data into clear, meaningful insights for senior leadership and Compliance partners. Financial Analysis & Reconciliation • Assist in analytical reviews related to CMS PDE submissions and reconciliations to paid claims data. • Identify opportunities to opt...