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Manager, Client Benefits - BRM - Audit SWAT

https://www.cvshealth.com/ Logo

CVS Health

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Location:
United States

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Category:
Customer Service

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Contract Type:
Employment contract

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Salary:

60300.00 - 145860.00 USD / Year
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Job Description:

As a Manager, Client Benefits - BRM - Audit SWAT for CVS Health, you will be responsible for researching and problem-solving adjudication and plan benefit issues, consulting with audit teams on proposed solutions, and building relationships with key internal partners to transform health care.

Job Responsibility:

  • Researching and problem-solving adjudication and plan benefit issues provided by the internal Audit team
  • Consulting with audit and other internal areas on proposed solutions to meet objectives and goals including financial and member experience
  • Researching and analyzing impacts for consideration of requirements or errors and providing direction on adjudication setups and solution to configuration and quality teams for mitigation
  • Building relationships with key internal partners through a consultative approach to understanding client benefit plan design needs
  • Translating client needs and requirements to internal CVS Health teams such as Benefits Coding and Quality Analysis
  • Facilitating meetings and presentations to provide status updates and make decisions relative to client benefit setup

Requirements:

  • At least 2 year of Benefit Relationship Management (BRM) experience
  • Experience with RxClaim adjudication
  • Bachelor's degree required, equivalent experience may be considered

Nice to have:

3-5 years of Benefit Relationship Management experience

What we offer:
  • Affordable medical plan options
  • 401(k) plan with matching company contributions
  • Employee stock purchase plan
  • Wellness screenings
  • Tobacco cessation and weight management programs
  • Confidential counseling and financial coaching
  • Paid time off
  • Flexible work schedules
  • Family leave
  • Dependent care resources
  • Colleague assistance programs
  • Tuition assistance
  • Retiree medical access

Additional Information:

Job Posted:
October 29, 2025

Expiration:
October 30, 2025

Employment Type:
Fulltime
Work Type:
Remote work
Job Link Share:
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