Senior Coordinator Managed Care Enroll

CVS Health

7d • $19 - $39

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 Execute necessary functions to ensure new and acquired pharmacies are set up to process third party claims on opening day. Perform all required tasks to enroll pharmacies in private, state and federal third party programs, as they relate to new store openings, acquisitions, and pharmacy relocations. Support approximately 9,000+ pharmacies in all enrollment related matters to assure continuation of third party agency participation. Act as liaison between pharmacy staff, third party agencies and internal departments to research and resolve Help Desk logs relating to pharmacy enrollment. Familiar with NCPDP, NPI, pharmacy jargon.

Requirements

• 1-3 years experience in a health care, pharmacy or medical billing environment
• Familiar with NCPDP, NPI, pharmacy jargon.
• High School Diploma

Nice To Haves

• Intermediate skills in MS Word, Excel and Access
• Excellent communication skills
• Strong organizational skills

Responsibilities

• Execute necessary functions to ensure new and acquired pharmacies are set up to process third party claims on opening day.
• Perform all required tasks to enroll pharmacies in private, state and federal third party programs, as they relate to new store openings, acquisitions, and pharmacy relocations.
• Support approximately 9,000+ pharmacies in all enrollment related matters to assure continuation of third party agency participation.
• Act as liaison between pharmacy staff, third party agencies and internal departments to research and resolve Help Desk logs relating to pharmacy enrollment.

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