CVS Health

Remote/Telecommute

ConsultantEnrollment

Posted over 1 month ago

Job Description

Job Description
CVS/Caremark, the Pharmacy Benefit Management (PBM) division of CVS Health, is looking for an Healthcare Eligibility Consultant to join our Eligibility Administration Department. As an Healthcare Sr. Eligibility Consultant for a Fortune 10 organization, you will impact and support customers in all areas including Commercial, Medicare, Healthcare Plans & Group Waiver Plans (EGWP).

In order to be successful in this role you will act as a client facing eligibility data subject matter expert, input of eligibility file and data configuration parameters within claims processing system, research and consult to improve eligibility data integrity and ensure excellent service delivery, as well as improve healthcare basic analytical skills that are needed to perform data analysis.

We offer a comprehensive benefits package which includes medical, dental, vision insurance as well as a wide-ranging list of supplemental benefits and discount programs.?In addition to sixteen paid days off for employees, we also offer ten paid holidays.

Required Qualifications
2+ years in Pharmacy Benefit Management or healthcare eligibility, insurance, IT, or benefits environment.

Preferred Qualifications
Experience with EDI (Electronic Data Interchange)
Experience in a healthcare client facing role
Experience with ANSI X12 834 Data Documents
Experience with Rxclaim and/or AS400
Bachelor's Degree in any discipline

Education
High School Diploma or GED required. Bachelor's Degree preferred

Business Overview
At CVS Health, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.


We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, sex/gender, sexual orientation, gender identity or expression, age, disability or protected veteran status or on any other basis or characteristic prohibited by applicable federal, state, or local law. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.

58508194

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