Health Plan Client Experience Manager

CVS Health; Vermont; Hybrid; USD 47,000 - 122,000; Full time

Job summary

CVS Health is seeking a full-time Client and Member Support professional to help simplify health care for patients and families. You will perform plan changes, ID card facilitation, required reporting, and inbound calls to support implementations and ensure accurate documentation.

The role includes prior authorization, eligibility, and claims resolution, with up to 25% travel within the continental United States. A comprehensive benefits package accompanies the position.

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.
• High school diploma or GED.
• Certified Pharmacy Technician (preferred).

Responsibilities

• Perform plan changes and ID card facilitation.
• Handle reporting and invoicing tasks.
• Conduct inbound calls and provide member support.
• Assist with prior authorization and eligibility processes.
• Support implementation efforts and external meetings.

Skills

Pharmacy experience

PBM/Insurance knowledge

Travel readiness

Education

High school diploma or GED

Bachelor's degree (preferred)

Certified Pharmacy Technician (preferred)

Tools

Salesforce

Job description

CVS Health is seeking a full-time Client and Member Support professional to help simplify health care for patients and families. You will perform plan changes, ID card facilitation, required reporting, and inbound calls to support implementations and ensure accurate documentation.

The role includes prior authorization, eligibility, and claims resolution, with up to 25% travel within the continental United States. A comprehensive benefits package accompanies the position.