Health Plan Renewal & Reporting Specialist

CVS Health; United States; Remote; 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

Job summary

CVS Health is seeking a benefits analyst to review and interpret plan details, and to set up client benefits in our systems. You will work with internal and external partners on enrollment, billing, and reporting while ensuring compliance with applicable regulations.

The role requires experience in healthcare benefits, knowledge of medical terminology, and proficiency with Salesforce. A bachelor’s or associate degree is preferred, and the position supports a full-time schedule in the United

Qualifications

• 2+ years of healthcare experience with quality, renewals, client advocacy, or account management.
• Knowledge of medical terminology is required.
• Ability to work 8am-5pm Monday-Friday, with additional hours during busy seasons.

Responsibilities

• Provides plan benefit review, interpretation, and setup for online viewing and processing.
• Represents internal and external partners in relation to enrollment, billing, and reporting.
• Advises on options to minimize manual processing and disruption for clients.
• Reviews benefit provisions for compliance with state and federal mandates.
• Executes system setup and mapping of client benefits to industry coding (ICD 10, etc.).

Skills

Healthcare experience

Quality assurance

Client advocacy

Account management

Medical terminology

Education

Associate’s or Bachelor’s degree

Tools

Salesforce

DOS systems

Job description

CVS Health is seeking a benefits analyst to review and interpret plan details, and to set up client benefits in our systems. You will work with internal and external partners on enrollment, billing, and reporting while ensuring compliance with applicable regulations.

The role requires experience in healthcare benefits, knowledge of medical terminology, and proficiency with Salesforce. A bachelor’s or associate degree is preferred, and the position supports a full-time schedule in the United