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Electronic Eligibility Consultant
5 months ago
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
-Responsible and accountable for end-to-end processes associated with enrollment, eligibility and ID card data management inclusive of ongoing maintenance after initial onboarding.
-Coordinates electronic transfer of eligibility data and maintain enrollment databases.
-Map files and data specifications based the customer's product and plan selection.
-Customer facing interactions with clients and vendors demanding high levels of responsiveness.
- Identifies and addresses barriers impacting access to care.
- Completes manual, complex activity associated with new business/account implementations
-Under general supervision, verifies enrollment status, makes changes to member/client records, and addresses a variety of enrollment questions or concerns.
Required Qualifications
-Operations work experience (Customer Service, Exposure to Enrollment processes are a plus).
-Prioritization and organization skills must be strong in order to manage assigned case load and meet responsiveness expectations.
-Professionalism to interact with clients, vendors and business partners as a representative of the Electronic Enrollment Department.
-Responsiveness to inquiries within established service level agreements.
-Demonstrated technical and analytical skills.
-Strong communication skills
Preferred Qualifications
-Strong technical background
-Analyticaland problem solving skills
Education
-College degree preferred.
-High School Diploma or G.E.D. Equivalent.
Pay Range
The typical pay range for this role is:
$17.00 - $29.88 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:
04/12/2024 CVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated.
You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.
CVS Health is committed to recruiting, hiring, developing, advancing, and retaining individuals with disabilities. As such, we strive to provide equal access to the benefits and privileges of employment, including the provision of a reasonable accommodation to perform essential job functions. CVS Health can provide a request for a reasonable accommodation, including a qualified interpreter, written information in other formats, translation or other services through
ColleagueRelations@CVSHealth.com
If you have a speech or hearing disability, please call 7-1-1 to utilize Telecommunications Relay Services (TRS). We will make every effort to respond to your request within 48 business hours and do everything we can to work towards a solution.
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