CVS Health Benefits Setup Representative I in Scottsdale, Arizona

Job Description

As a Benefits Setup Rep I, you will be part of an extremely talented team within our Health Plan Client Benefits testing department at CVS Health. You will be responsible for analyzing client requests and performing the necessary benefits testing and quality assurance validation. You will work alongside other Benefits Coders and Testers as well as our Requirements team to deliver high quality support to our vast number of clients. Extreme attention to detail is important for this role, as your testing and quality assurance activities will directly impact our clients' pricing and their patients' ability to get medication at the correct price.

As a Benefits Setup Rep I, you will be expected to demonstrate a high level of service through direct interaction with the client and or internal partners that involves accuracy, responsiveness, reliability, and professionalism on every interaction in a fast-paced environment. You will need to positively demonstrate the ability to be flexible and adaptive to change.

Required Qualifications

1+ years of professional work experience in Claims, Insurance, QA, Testing, or a high-production environment.

1+ years of experience with Microsoft Office applications

Preferred Qualifications

Knowledge of the Pharmacy Benefit Management and/or Health Insurance Industry from an operations perspective.

General understanding of plan benefit design preferred. Experience working in, RxClaim/AS400


High School Diploma or GED required

Bachelors Degree preferred

Business Overview

CVS Health, through our unmatched breadth of service offerings, is transforming the delivery of health care services in the U.S. We are an innovative, fast-growing company guided by values that focus on teamwork, integrity and respect for our colleagues and customers. What are we looking for in our colleagues? We seek fresh ideas, new perspectives, a diversity of experiences, and a dedication to service that will help us better meet the needs of the many people and businesses that rely on us each day. As the nation’s largest pharmacy health care provider, we offer a wide range of exciting and fulfilling career opportunities across our three business units – MinuteClinic, pharmacy benefit management (PBM) and retail pharmacy. Our energetic and service-oriented colleagues work hard every day to make a positive difference in the lives of our customers.

CVS Health is an equal opportunity employer. We do not discriminate in hiring or employment against any individual on the basis of race, ethnicity, ancestry, color, religion, sex/gender (including pregnancy), national origin, sexual orientation, gender identity or expression, physical or mental disability, medical condition, age, veteran status, military status, marital status, genetic information, citizenship status, unemployment status, political affiliation, or on any other basis or characteristic prohibited by applicable federal, state or local law. CVS Health will consider qualified job candidates with criminal histories in a manner consistent with federal, state and local laws. CVS Health will not discharge or in any other manner discriminate against any Colleague or applicant for employment because such Colleague or applicant has inquired about, discussed, or disclosed the compensation of the Colleague or applicant or another Colleague or applicant. Furthermore, we comply with the laws and regulations set forth in the following EEO is the Law Poster: EEO IS THE LAW at and EEO IS THE LAW SUPPLEMENT at

Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. If you require assistance to apply for this job, please contact us by clicking Advice and Counsel at mailto:Advice&

CVS Health does not require nor expect that applicants disclose their compensation history during the application, interview, and hiring process.

For inquiries related to the application process or technical issues please contact the Kenexa Helpdesk at 1-855-338-5609. For technical issues with the Virtual Job Tryout assessment, contact the Shaker Help Desk at 1-877-987-5352. Please note that we only accept resumes via our corporate website: