About the Role
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.
Responsibilities
- Perform and support plan changes.
- Perform ID card facilitation.
- Complete any necessary reporting (scheduled, ad-hoc).
- Conduct inbound phone calls.
- Complete any assigned invoices.
- Perform any assigned group terminations.
- Complete documentation requests.
- Serve as a presence throughout the implementation process.
- Facilitate and participate in external-facing meetings.
- Perform overrides as needed.
- Oversee prior authorization and accessibility processes.
- Oversee resolution of claims issues.
- Perform manual eligibility adds and terminations.
- Service warranties as assigned.
Requirements
- 5+ years of experience in a pharmacy, PBM (Pharmacy Benefit Management), and/or insurance setting.
- Ability to travel up to 25% of time within the continental United States.
Skills
- Certified Pharmacy Technician.
- Basic awareness of problem solving and decision-making skills.
- Previous experience with Salesforce.
Work Type
- Full time
Education Level
- High school diploma or GED.
- Bachelor’s degree.
Salary/Compensations
- $46,988.00 - $122,400.00
Benefits
- medical, dental, and vision coverage
- paid time off
- retirement savings options
- wellness programs
- CVS Health bonus, commission or short-term incentive program
About the Company
- Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Equal Opportunity
- Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
