[Hiring] Pharmacy Benefit Management Client Experience Manager @CVS Health

Role Description

The Pharmacy Benefit Management Client Experience Manager examines sales, account management, and business retention metrics for products and services, in order to support profitable growth and other business objectives. This person controls strategic business plans for accounts and customer relationships, focusing on revenue growth, member retention, and achievement of financial objectives.

What you will do:

• 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.

Qualifications

• 5+ years of experience in a pharmacy, PBM, or insurance setting.
• Travel up to 25% of time within the continental United States.

Requirements

• 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.

Benefits

• Comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families.
• Medical, dental, and vision coverage.
• Paid time off.
• Retirement savings options.
• Wellness programs and other resources, based on eligibility.