Job Description
Job Description
The Health Plan Client Support (HPCS) Specialist is the important first-line of contact for our Health Plan clients, setting the tone for how they view our company and services; while providing them with information to help resolve member related issues and concerns. The Client Support Team is vital within the organization as a liaison between our clients and participants. A HPCS Specialist will be required to effectively handle our clients and resolve issues/complaints while consistently demonstrating a high level of quality and professionalism that contributes to Client Supports achievement of service level goals. The HPCS Specialist promotes a positive team environment, continuously seeking opportunities for developing professional expertise that support the goals and objectives of the company. Mentoring, coaching, and intensive oversight is provided throughout the first 6 months.
In order to be successful in this role you will work collaboratively with internal/external business partners to provide solutions to member level issues as well as receive and respond to client issues in a timely manner via email, fax, cases, and phone. Providing plan benefit override support at client request and partnering with Account Management teams to ensure maximum client satisfaction and issue resolution are also key.
Health Plan Client Support operating hours: Monday-Friday 8:00AM-8:00PM EST
(Occasional need for overtime, weekend, and holiday support as determined by seasonal business needs)
Required Qualifications
3+ years of experience in a complex, high-impact
customer interfacing role
Preferred Qualifications
Health Care or Pharmacy Benefit Management Experience
Experience with PeopleSafe, RxClaim, and SalesForce
Bachelor's Degree in any discipline
Education
High School Diploma or GED required
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.
The Health Plan Client Support (HPCS) Specialist is the important first-line of contact for our Health Plan clients, setting the tone for how they view our company and services; while providing them with information to help resolve member related issues and concerns. The Client Support Team is vital within the organization as a liaison between our clients and participants. A HPCS Specialist will be required to effectively handle our clients and resolve issues/complaints while consistently demonstrating a high level of quality and professionalism that contributes to Client Supports achievement of service level goals. The HPCS Specialist promotes a positive team environment, continuously seeking opportunities for developing professional expertise that support the goals and objectives of the company. Mentoring, coaching, and intensive oversight is provided throughout the first 6 months.
In order to be successful in this role you will work collaboratively with internal/external business partners to provide solutions to member level issues as well as receive and respond to client issues in a timely manner via email, fax, cases, and phone. Providing plan benefit override support at client request and partnering with Account Management teams to ensure maximum client satisfaction and issue resolution are also key.
Health Plan Client Support operating hours: Monday-Friday 8:00AM-8:00PM EST
(Occasional need for overtime, weekend, and holiday support as determined by seasonal business needs)
Required Qualifications
3+ years of experience in a complex, high-impact
customer interfacing role
Preferred Qualifications
Health Care or Pharmacy Benefit Management Experience
Experience with PeopleSafe, RxClaim, and SalesForce
Bachelor's Degree in any discipline
Education
High School Diploma or GED required
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.
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