Client Experience Lead - Health Plan & Member Support

CVS Health; Florida; Hybrid; 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 hiring for a full-time Client/Member Support role in the United States. The position involves supporting plan changes, ID card facilitation, reporting, and handling inbound calls within a dynamic health services environment.

Qualified candidates have 5+ years in pharmacy/PBM/insurance settings, travel readiness up to 25%, and a high school diploma or GED; a Bachelor's degree is preferred. CVS Health offers comprehensive benefits and advancement opportunities.

Qualifications

• 5+ years of experience in a pharmacy, PBM, or insurance setting.
• Ability to travel up to 25% of time within the continental United States.
• High school diploma or GED; Bachelor’s degree preferred.

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.
• Facilitate and participate in external-facing meetings.
• Oversee prior authorization and accessibility processes.
• Oversee resolution of claims issues.
• Perform manual eligibility adds and terminations.

Skills

Pharmacy/PBM/Insurance experience

Education

High school diploma or GED

Bachelor's degree

Tools

Salesforce

Job description

CVS Health is hiring for a full-time Client/Member Support role in the United States. The position involves supporting plan changes, ID card facilitation, reporting, and handling inbound calls within a dynamic health services environment.

Qualified candidates have 5+ years in pharmacy/PBM/insurance settings, travel readiness up to 25%, and a high school diploma or GED; a Bachelor's degree is preferred. CVS Health offers comprehensive benefits and advancement opportunities.