Client Experience Manager, Pharmacy Benefits Management

CVS Health; Ohio; 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 seeking a full-time Client/Member Support role focused on pharmacy benefits management and insurance support. You will perform plan changes, ID card facilitation, and manage inbound calls during implementation.

This role requires 5+ years in pharmacy/PBM/insurance, travel up to 25%, and offers benefits including medical, dental, and vision coverage, PTO, retirement options. Salary ranges from $46,988 to $122,400 depending on experience and geography.

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.
• Bachelor's degree preferred; other qualifications may apply.

Responsibilities

• Support plan changes and ID card facilitation during implementation.
• Handle inbound calls and complete reporting and invoices.
• Oversee prior authorization and eligibility processes.
• Resolve claims issues and assist with group terminations.
• Participate in external-facing meetings and documentation requests.

Skills

Pharmacy experience

PBM experience

Insurance sector experience

Travel flexibility

Education

High school diploma or GED

Bachelor's degree

Tools

Salesforce

Job 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.

Required 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.

Preferred Qualifications

• 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.

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$46,988.00 - $122,400.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

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.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

• Medical coverage
• Dental coverage
• Vision coverage
• Paid time off
• Retirement savings options
• Wellness programs
• Other resources

Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 10/30/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.