Client Experience Manager, Pharmacy Benefits Management
About The Position
CVS Health is hiring a Client Experience Manager in Pharmacy Benefits Management. The role supports both clients and members through plan changes, ID card facilitation, reporting, inbound calls, invoices, group terminations, documentation requests, and participation throughout the implementation process. It also involves facilitating and participating in external-facing meetings. Member support includes performing overrides, overseeing prior authorization and accessibility processes, resolving claims issues, making manual eligibility additions and terminations, and servicing warranties as assigned. The position is full time, anticipates 40 hours per week, and may require travel up to 25% of the time within the continental United States. The role is eligible for a CVS Health bonus, commission, or short-term incentive program in addition to base pay.
Requirements
- At least 5 years of experience in a pharmacy, pharmacy benefit management (PBM), and/or insurance setting.
- Ability to travel up to 25% of the time within the continental United States.
- High school diploma or GED.
Nice To Haves
- Certified Pharmacy Technician.
- Basic awareness of problem-solving and decision-making skills.
- Previous experience with Salesforce.
- Bachelor’s degree.
Responsibilities
- Perform and support plan changes.
- Facilitate ID cards.
- Complete scheduled and ad hoc reporting.
- Conduct inbound phone calls for client support.
- Complete assigned invoices.
- Perform assigned group terminations.
- Complete documentation requests.
- Provide a presence throughout the implementation process.
- Facilitate and participate in external-facing meetings.
- Perform member overrides as needed.
- Oversee prior authorization and accessibility processes.
- Conduct inbound phone calls for member support.
- Oversee resolution of claims issues.
- Perform manual eligibility additions and terminations.
- Service warranties as assigned.
Benefits
- Medical coverage.
- Dental coverage.
- Vision coverage.
- Paid time off.
- Retirement savings options.
- Wellness programs.
- Other resources to support colleagues’ physical, emotional, and financial well-being, based on eligibility.
- Eligibility for a CVS Health bonus, commission, or short-term incentive program.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Manager
Education Level
High school or GED
