[Hiring] Client Experience Manager @CVS Health

Role Description

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.

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 (Pharmacy Benefit Management), and/or insurance setting.
• Ability to 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.

Company Description

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.