Description
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* As a Benefit Relationship Manager (BRM), you will captain the strategic documentation and deployment of our clients' prescription benefit plan designs. The BRM position affords you the opportunity to gain valuable leadership experience through managing project teams. You will be seen as a client problem-solver and will bring innovative solutions to high-profile clients. Primary duties and responsibilities: * Defining and Documenting Requirements with Clients, Implementation and Account Managers * Consulting with clients on proposed solutions to meet objectives & goals including financial & member experience * Research, analyzing impacts for consideration of requirements or errors and providing direction on adjudication setups & solution to Configuration & Quality for mitigation * Cross functional project support to improve benefits requirements process * Mentorship of colleagues with Benefit & Clinical Ops You will accomplish this by: * Building relationships with key client partners through a consultative approach to understand client benefit plan design needs * Translating client needs and requirements to internal CVS Health teams such as Benefits Coding and Quality Analysis * Facilitating internal and external meetings and presentations to provide status updates and make decisions relative to client benefit setup Your success will be driven by exceeding client satisfaction score targets as well as working towards reduced service warranty payments to clients. Your healthcare industry knowledge in the areas of Formulary Management, Drug Utilization Management, and Reimbursement and Claims Adjudication will also contribute to your success. In this role, you will operate in a fast-paced environment with tight deadlines so your ability to operate autonomously and make key decisions is imperative. The contributions you will make as a BRM will position CVS Health as a leader in client satisfaction and service in the Pharmacy Benefit Management marketplace. *Required Qualifications* * 5 or more years of experience in benefit plan design/coding/testing/account management, or related field * RxClaim/AS400 experience * PBM industry experience *Preferred Qualifications* * Experience with Benefit Builder and FMS * Salesforce experience * Proven benefits coding operations experience in AS400 *Education* * Bachelor's Degree is required, equivalent experience may be considered *Pay Range* The typical pay range for this role is: $60,300.00 - $139,200.00This 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. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. 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](https://jobs.cvshealth.com/benefits) We anticipate the application window for this opening will close on: 04/12/2024CVS 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](mailto: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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