Client Experience Lead - Health & Pharmacy Support

Florida Pharmacy Association, Inc.; Florida; On-site; USD 47,000 - 122,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Paid time off

Retirement savings options

Wellness programs

Other resources

Job summary

CVS Health is seeking a full-time Client and Member Support professional to join our team. You will handle plan changes, ID card facilitation, and reporting, while conducting inbound calls and processing invoices during the implementation phase.

In this role you will also manage overrides, prior authorizations, eligibility updates, and resolution of claims issues, ensuring a smooth experience for members and clients across the United States.

Qualifications

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

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.

Skills

Pharmacy/PBM/Insurance experience

Travel readiness

Education

High school diploma or GED

Bachelor's degree (preferred)

Tools

Salesforce

Job description

CVS Health is seeking a full-time Client and Member Support professional to join our team. You will handle plan changes, ID card facilitation, and reporting, while conducting inbound calls and processing invoices during the implementation phase.

In this role you will also manage overrides, prior authorizations, eligibility updates, and resolution of claims issues, ensuring a smooth experience for members and clients across the United States.