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CVS Health Representative III Benefits Setup in Irving, Texas

Job Description

As the Benefits Setup Representative III you will be responsible for supporting internal partners aligned to the Benefits Consultation Center (BCC). The BCC collaborates with Account Management, Implementation Management as well as our Benefits Employer Client Services Team (CST) to capture client intent for new plan implementations as well as changes to existing plans.Intent must be captured in a manner that is understandable to both our clients, internal partners and our Benefits organization.Interaction with clients is likely, mostly by phone but in some occasions face to face.You will provide analytical expertise to support the Client Benefits department related to Employer clients' benefit plans. Your ability to work flexibly within a team and adapt to change will assist you in supporting our internal teams of benefit coders, testers and QA by providing in-depth reviews and distributing information relevant to Employer plan setups. Additionally, you will provide subject matter expertise and oversight of issues, identify solutions to resolve issues and identify process improvement opportunities to make the process of plan design requests more efficient. You will be responsible for meeting or exceeding turnaround time and quality standards as well as researching client benefit requests/issues and recommending alternative solutions to internal partners in meeting client needs.

Required Qualifications

  • 2 + years of experience within a Healthcare or Pharmacy environment - 2+ years of experience with AS400/RxClaim - 2+ years of experience with the Microsoft Office Suite

Preferred Qualifications

  • Previous coding experience - Ownership and results driven - Customer focused - Attention to detail - Able to meet aggressive turnaround time standards/client performance guarantees coupled with excellent quality - Ability to effectively work within a team - Flexible in adapting to change - Demonstrated ability to analyze data and determine conclusions - Ability to learn and apply increasingly complex concepts, policies and procedures - Ability to effectively plan, prioritize, organize time and workload - Skilled in identifying and solving issues and recommending process improvements - Ability to work successfully in a deadline-oriented environment - Project Management skills - Well organized with the ability to effectively prioritize work - Excellent verbal and written communication skills


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.