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CVS Health Consultant Enrollment in Pennsylvania

Job Description

As an Enrollment Analyst for a Fortune 10 organization, you will impact and support customers in all areas including acting as a healthcare data subject matter expert on Eligibility guidelines and Electronic Data Interchange (EDI) protocol for client.In order to be successful in this role you will research and consult to improve healthcare data integrity and ensure excellent service delivery. You will resolve data enrollment issues on a daily basis utilize your exceptional time management and healthcare client management skills in order to do so. Other responsibilities include working in a fast-paced environment and providing client support that can sometimes extend after business hours/ during weekends/ on holidays. Continuous development training will be provided in this role to ensure you are able to exceed client expectations and success in this role.Your success will be driven by resolving critical issues with minimal guidance along with prioritizing competing client requests to ensure focus on the highest impact activities. Your technical skills and attention to detail will be tested daily. In this role, you will help to ensure that CVS Health maintains its position as leader in the PBM Marketplace.

Required Qualifications

1+ years of experience in healthcare data eligibility, insurance, IT, benefits or data analytics environment with the ability to analyze data in a confidential healthcare environment1-2 weekends per month for on-call support

COVID Requirements

COVID-19 Vaccination Requirement

CVS Health requires its Colleagues in certain positions to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, pregnancy, or religious belief that prevents them from being vaccinated.

  • If you are vaccinated, you are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status within the first 30 days of your employment. For the two COVID-19 shot regimen, you will be required to provide proof of your second COVID-19 shot within the first 60 days of your employment. Failure to provide timely proof of your COVID-19 vaccination status will result in the termination of your employment with CVS Health.

  • If you are unable to be fully vaccinated due to disability, medical condition, pregnancy, or religious belief, you will be required to apply for a reasonable accommodation within the first 30 days of your employment in order to remain employed with CVS Health. As a part of this process, you will be required to provide information or documentation about the reason you cannot be vaccinated. If your request for an accommodation is not approved, then your employment may be terminated.

Preferred Qualifications

Proven customer service or client-facing experience in a fast-paced environment Experience in EDI (Electronic Data Interchange) Understanding of the PBM (Pharmacy Benefit Management) industry Knowledge of ANSI X12 834 Data Documents Familiarity with RxClaim and/or AS400


Verifiable high school diploma or GED.

Business Overview

At CVS Health, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.

We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, sex/gender, sexual orientation, gender identity or expression, age, disability or protected veteran status or on any other basis or characteristic prohibited by applicable federal, state, or local law. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.