Our Ability Jobs

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.

Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.

Position Summary

• Manages and coordinates changes for existing customers. Provides focused service fostering strong relationships with internal business partners to assure all administrative updates are loaded correctly. Heavy emphasis on the Source Renewal quoting changes.

• Analyzes and determines if products and services selected by clients are aligned and can be adequately supported by existing systems or operating platforms; additionally, seeks solutions and negotiates essential requirements in support of any non-standard plan selections. Requires dynamic decision making to appropriately structure the group setups within the Meritain system to align with our vendor partners (PBM’s, Managed Care Entities, etc..), analytics vendors and provide the required structure for client billing and reporting.

• Consults and communicates with internal staff regarding the details associated with new business and revision activity in a timely manner and validates account structure and pricing.

• Completes timely and accurate set-up of complex account structure and detailed benefit plans in systems for multiple constituents in order to satisfy both internal and external deadlines for production- impacting a wide variety of products and services.

• Monitors and manages internal installation process and maintains case tracking to meet constituents expectations and business goals.

• Maintains data files for monthly group reporting, assuring PHI guidelines are being followed.

• Participates in testing related to enhancements/changes made in the ER/EO/GIM data files.

• Supports broader teams as necessary.

Required Qualifications

• Healthcare industry experience (Customer Service, Claims, and or Plan Build preferred)

Preferred Qualifications

• Detail oriented

• Highly organized

• Good communication skills

• Strong problem solving skills

• Strong team player

• Strong product knowledge

Education

• High School Diploma

Pay Range

The typical pay range for this role is:

$43,888.00 - $93,574.80

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.

In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.

For more detailed information on available benefits, please visit Benefits | CVS Health (https://jobs.cvshealth.com/us/en/benefits)

We anticipate the application window for this opening will close on: 11/29/2024

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

We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.