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Medicare Eligibility Consultant

4 months ago

Moon Township, United States CVS Health Full time

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver.

Our Heart At Work Behaviors support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.

Position Summary

The successful candidate will verify enrollment information, makes changes to member demographic data, research creditable coverage information, and addresses a variety of enrollment questions or concerns. Maintains enrollment data in eligibility systems to ensure compliance with CMS guidance requirements.

Required Qualifications

* Meet Monthly Metrics as defined by department
* Understand the processes you work and possible impacts to other departments
* Demonstrate measureable improvement in quality of processing from year to year
* Work collaboratively with a Senior if you identify potential system issues and provide detailed information with possible impacts
* Participate in cross training on various products and platforms to ensure Enrollment metrics are met
* Meet Departmental attendance expectations
* Take ownership to resolve customer issues using all available resources including process flows and CMS guidance
* Identifying training opportunities and/or reference resources to improve knowledge and processing
* Demonstrate professionalism, active listening skills and processing knowledge when communicating with internal and external customers
* Identify coaching opportunities and escalate to a Senior or Supervisor
* Keep a positive attitude as changes occur

Preferred Qualifications

* Medicare industry experience.
* Familiarity with Medicare Enrollment systems
* Working knowledge of Microsoft Office products (Word, Excel, PowerPoint, Outlook) and Internet Explorer
* Excellent verbal and written communication skills.
* Attention to detail and accuracy.
* Problem solving skills.
* Strong organization skills.
* Understands the impact of work to other teams and downstream support areas.
* Ability to analyze and research data to make appropriate corrections as necessary.
* Strong verbal and written communication skills

Education

High School Diplome/GED, or equivlent experience

Pay Range

The typical pay range for this role is:

$17.00 - $28.45

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.

In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company's 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off ("PTO") or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.

For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits

We anticipate the application window for this opening will close on: 05/13/2024