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Advanced Eligibility Consultant

https://www.cvshealth.com/ Logo

CVS Health

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Location:
United States , East Lansing

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Category:
Customer Service

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Contract Type:
Employment contract

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Salary:

43888.00 - 93574.00 USD / Year
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Job Description:

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Job Responsibility:

  • Autonomous management and resolution of multifaceted eligibility issues
  • Translation of strategic directives and organizational intent into executable, results-driven initiatives with minimal oversight
  • Operating in a consultative capacity, engaging cross-functionally with internal departments, external clients, and broker partners to deliver expert guidance and solutions
  • Functioning as the principal escalation point prior to Manager or Director intervention
  • Ongoing development and mentorship of junior staff
  • Design and implementation of comprehensive training programs
  • Orchestration and alignment of daily operational objectives
  • Identification and execution of process optimization strategies
  • Leveraging subject matter expertise to drive continuous improvement and operational excellence across the eligibility function

Requirements:

  • 3-4 years experience as an Eligibility Consultant, with a proven track record of managing complex eligibility and policy data for high-value plan sponsors
  • Advanced proficiency in the accurate and timely processing of eligibility data, ensuring alignment with client requirements and organizational standards
  • Ability to synthesize organizational intent and end-state objectives, operating with a high degree of autonomy to achieve desired outcomes
  • Exceptional organizational skills, with the capacity to manage multiple concurrent priorities in a dynamic environment
  • Demonstrated ability to function both independently and as an integral member of a collaborative team
  • Consistent delivery of precise and timely results, with effective delegation and follow-up as required
  • Experience in coaching and mentoring junior colleagues, including the design, development, and facilitation of transitional training programs to support the seamless integration of new hires from classroom instruction to full productivity
  • Proven ability to identify, recommend, and implement process improvements and operational efficiencies
  • High School diploma, G.E.D. and equivalent experience

Nice to have:

  • Experience in processing policy and eligibility data with a high degree of accuracy and timeliness, ensuring that all services and products consistently align with the specific requirements of plan sponsors
  • Experience in coaching, mentoring, and developing others within a team or organizational setting
  • Demonstrated leadership in complex eligibility operations
What we offer:
  • Bonus, commission or short-term incentive program
  • Medical coverage
  • Dental coverage
  • Vision coverage
  • Paid time off
  • Retirement savings options
  • Wellness programs

Additional Information:

Job Posted:
May 15, 2026

Expiration:
May 22, 2026

Employment Type:
Fulltime
Work Type:
Hybrid work
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