Client Experience Manager, Pharmacy Benefits Management

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🕒 July 31

🥔 Idaho, New York, +1 more states – Remote

🥔 Idaho – Remote 🗽 New York – Remote 🤠 Texas – Remote

💵 $47k - $122.4k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏆 Customer Success

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CVS Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1963

🏥 Healthcare

⚕️ Healthcare Insurance

🛒 Retail

Healthcare • Healthcare Insurance • Retail

CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.

📋 Description

• 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. • 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 (Pharmacy Benefit Management), and/or insurance setting. • Ability to travel up to 25% of time within the continental United States. • Certified Pharmacy Technician (preferred). • Basic awareness of problem solving and decision-making skills. • Previous experience with Salesforce (preferred). • Bachelor's degree (preferred). • High school diploma or GED.

🏖️ Benefits

• medical • dental • vision coverage • paid time off • retirement savings options • wellness programs • additional resources, based on eligibility