[Hiring] Account Coordinator @CVS Health

Role Description

This position works with our RnR, Account Management, COBRA, and others to determine the most appropriate system setup for our Clients. With our proprietary system, most of our clients are custom setups with multiple vendors and services, in addition to custom reporting requirements. To accommodate the Account Coordinators must analyze the client requirements with the requirements of our internal processes and departments to determine a viable setup that will meet the needs of our client and our internal partners. In some instances, the setup may require programming, in which case the Account Coordinator will work with IT on the programming design and UAT testing.

• Analyzes and determines if products and services selected by clients are aligned and can be adequately supported by existing systems or operating platforms.
• 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.
• Completes timely and accurate set-up of complex account structure and detailed benefit plans in systems for multiple constituents to satisfy both internal and external deadlines for production.
• Monitors and manages internal installation process and maintains case tracking to meet constituents expectations and business goals.
• Runs adhoc data programs to assist with streamlining setup of group and eligibility files.
• Runs adhoc data programs to quickly audit setup of customized group enrollments.
• Maintains data files for monthly group reporting, assuring PHI guidelines are being followed.
• Runs monthly reports for all clients and brokers.
• Participates in testing related to enhancements/changes made in the ER/EO/GIM data files.

Qualifications

• 1-3 years Healthcare operations experience

Requirements

• DOS system background
• Salesforce experience
• Excel is beneficial for the analyzing/matrixing out of the group setups
• Detail oriented
• Highly organized
• Strong communication skills
• Bachelor's degree

Education

• High School Diploma or GED

Benefits

• Comprehensive and competitive mix of pay and benefits
• Medical, dental, and vision coverage
• Paid time off
• Retirement savings options
• Wellness programs
• Other resources, based on eligibility