Senior Business Analyst, Regulatory Reporting Solutions (Remote)

CVS Health is focused on building a world of health around every individual, emphasizing a connected and compassionate health experience. The Senior Business Analyst role involves supporting the execution and coordination of regulatory reporting requirements in the PBM and Medicaid sectors, ensuring timely and accurate deliverables while collaborating with various teams.

Responsibilities:

• Meet with internal and external customers to define high level report scope and requirements
• Coordinate with different reporting teams to ensure that PBM based reports meets all requested information
• Support documentation of regulatory reporting requirements and maintain supporting artifacts
• Ensure Salesforce intake cases are complete, accurate, and updated throughout the reporting lifecycle
• Prepare, maintain, and validate client lists used for regulatory reporting
• Maintain report templates, instructions, and version-controlled files
• Coordinate inputs from internal and external partner teams
• Perform quality checks on report outputs for completeness and accuracy
• Identify discrepancies and escalate issues appropriately
• Support assembly of reporting deliverables for submission readiness
• Maintain audit-ready documentation and artifact repositories
• Execute validation controls for reporting accuracy and completeness
• Maintain documentation aligned to requirements and prior-period references
• Ensure traceability between requirements, inputs, and outputs
• Support audit requests through documentation retrieval and organization
• Escalate control gaps or inconsistencies
• Preserve version-controlled files, historical submissions, and supporting artifacts
• Support retrieval and organization of evidence for audit, compliance, or regulatory follow-up needs
• Maintain working knowledge of reporting data, methodologies, and assumptions relevant to assigned reports
• Perform data validation, reconciliation, and reasonability checks using prior submissions and supporting artifacts
• Analyze year-over-year changes in templates, scope, or required fields and support resolution of identified differences
• Support identification of data owners and appropriate points of contact for report inputs
• Support data accuracy reviews with reporting teams

Requirements:

• 3–5+ years of business analysis experience in reporting, finance operations, compliance operations, or healthcare operations
• Strong Excel, documentation, and coordination skills
• Bachelor's degree or equivalent experience
• PBM or healthcare experience
• Experience supporting regulatory reporting, compliance operations, finance operations, or healthcare environments
• Experience working with medical and/or pharmacy claims data