Client Experience Manager, Pharmacy Benefits Management

CVS Health
$46,988 - $122,400Remote

About The Position

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.

Requirements

  • 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.

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.
  • 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.
  • 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.

Benefits

  • medical
  • dental
  • vision coverage
  • paid time off
  • retirement savings options
  • wellness programs
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