PBM Client Experience Manager

CVS Health

1d

About The Position

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. Position Summary The Pharmacy Benefit Management Client Experience Manager examines sales, account management, and business retention metrics for products and services, in order to support profitable growth and other business objectives. This person controls strategic business plans for accounts and customer relationships, focusing on revenue growth, member retention, and achievement of financial objectives. What you will do: Client Support 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. Member Support 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.

Requirements

• 5+ years of experience in a pharmacy, PBM, or insurance setting.
• Travel up to 25% of 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.
• 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.
• Oversee resolution of claims issues.
• Perform manual eligibility adds and terminations.
• Service warranties as assigned.

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
• Number of Employees: 5,001-10,000 employees