PBM Client Experience Lead

CVS Health; Oklahoma; On-site; USD 47,000 - 122,000; Full time

Job summary

CVS Health is seeking a Pharmacy Benefit Management Client Experience Manager to analyze account metrics and support profitable growth. You will shape strategic plans for accounts, focus on revenue growth, member retention, and achieving financial objectives.

The role involves extensive client and member support, plan changes, reporting, and collaboration with implementation teams. Travel up to 25% across the continental US is required.

Qualifications

• 5+ years of experience in a pharmacy, PBM, or insurance setting.
• Basic awareness of problem solving and decision-making skills.
• Travel up to 25% within the continental United States.
• Certified Pharmacy Technician designation is a plus.

Responsibilities

• Perform and support plan changes.
• Facilitate ID card processing and reporting.
• Handle inbound calls and invoicing tasks.
• Assist with group terminations and documentation requests.
• Support implementation processes and external-facing meetings.
• Oversee prior authorization and accessibility processes.
• Resolve claims issues and manage eligibility changes.

Skills

Problem solving

Decision making

Education

High school diploma or GED

Bachelor’s degree

Certified Pharmacy Technician

Tools

Salesforce

Job description

CVS Health is seeking a Pharmacy Benefit Management Client Experience Manager to analyze account metrics and support profitable growth. You will shape strategic plans for accounts, focus on revenue growth, member retention, and achieving financial objectives.

The role involves extensive client and member support, plan changes, reporting, and collaboration with implementation teams. Travel up to 25% across the continental US is required.