Representative II Benefits Setup
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 The Representative – Level 2 is responsible for analyzing client requests and performing benefits plan configuration and quality assurance activities. This role collaborates with plan builders, testers, QA teams, and cross-functional partners—including Account Management, Clinical Advisors, and Implementation teams—to deliver high-quality client support. The position requires strong attention to detail, as plan configurations directly impact CVS Health clients. Responsibilities include evaluating and implementing changes in MYPBM/Rx CLAIM and managing casework through Salesforce. Success in this role requires accuracy, responsiveness, and reliability.
Requirements
- +1 year working with Microsoft Office (One Note and Excel)
- +1 year experience working with Customer Service.
- High School Diploma or GED (required)
Nice To Haves
- Knowledge of Pharmacy Benefit Management (PBM).
- Experience with AS400/Rx CLAIM or similar healthcare systems.
- Familiarity with Salesforce or CRM platforms.
- Pharmacy Technician background (strongly preferred).
- Strong organizational skills with the ability to prioritize work independently.
- Adaptability in a changing environment.
- Commitment to quality and accuracy.
- Bachelor’s Degree (preferred)
Responsibilities
- Analyzing client requests
- Performing benefits plan configuration and quality assurance activities
- Collaborating with plan builders, testers, QA teams, and cross-functional partners—including Account Management, Clinical Advisors, and Implementation teams—to deliver high-quality client support
- Evaluating and implementing changes in MYPBM/Rx CLAIM
- Managing casework through Salesforce
Benefits
- medical, dental, and vision coverage
- paid time off
- retirement savings options
- wellness programs
- other resources, based on eligibility
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
