Meritain Pharmacy Solutions CARE Specialist

CVS Health • New York, NY

4d

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. Position Summary This position is part of our Meritain Pharmacy Solutions CARE (Cost Avoidance Research Effort) team. The Meritain Pharmacy Solutions CARE Specialist will engage with patients, helping them to navigate the complexities of healthcare, as well as assisting them in pricing for high-cost medications. This person will work to help ensure our people, processes, and technology enable our CARE savings strategies to navigate the health care system, as well as respond to client and member questions surrounding high-cost medication needs.

Requirements

• 2+ years of experience as a certified pharmacy technician in a pharmacy setting.
• 2+ years of specialty medication knowledge.
• 2+ years of experience with manufacturer copay assistance, foundational assistance and patient assistance programs.
• Ability to travel up to 10% of the time within the United States.
• High school diploma or GED.

Nice To Haves

• 3-5 years of experience as a certified pharmacy technician in a pharmacy setting.
• 3-5 years of specialty medication knowledge.
• 3-5 years of experience with manufacturer copay assistance, foundational assistance and patient assistance programs.

Responsibilities

• Research specialty drug cost savings for our members and self-funded clients.
• Monitors performance of high dollar specialty claims.
• Research and outreach on appropriate interchanges of medications from the medical to pharmacy benefit.
• Help triage escalated, high-touch member claims issues and service concerns.
• Performs outbound communication, and proactive outreach to members to ensure they have maximal savings on specialty medications.
• Help research available assistance programs (PAP (Patient Assistance Programs) and foundational) for specialty medications not covered for our members.
• Communicate with provider offices regarding specialty medication therapies.

Benefits

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED