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Support pharmacy benefit clients through plan changes, ID card facilitation, reporting, invoices, documentation, implementation activities, and external-facing meetings. Assist members by handling calls, overrides, prior authorization and accessibility processes, claims issues, eligibility changes, and assigned service warranties.
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.
Client Support
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.
Member Support
Perform overrides as needed.
Oversee prior authorization and accessibility processes.
Conduct inbound phone calls.
Oversee resolution of claims issues.
Perform manual eligibility adds and terminations.
Service warranties as assigned.
Required Qualifications
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.
Preferred Qualifications
Certified Pharmacy Technician.
Basic awareness of problem solving and decision-making skills.
Previous experience with Salesforce.
Bachelor’s degree.
Education
High school diploma or GED.
Anticipated Weekly Hours
40Time Type
Full timePay Range
The typical pay range for this role is:
$46,988.00 - $122,400.00This 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.
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.
Great benefits for great people
We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
Additional details about available benefits are provided during the application process and on Benefits Moments.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
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