Renewal Plan Builder, CVS Health

CVS Health

Location:
United States, Plymouth, MN ▼
Amherst, NY
Lansing, MI

Category:
-

Contract Type:
Employment contract

Salary:

43888.00 - 102081.00 USD / Year

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Job Description:

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Job Responsibility:

Provides plan benefit review, interpretation, and systematic setup essential for online viewing and processing related to customer service, claims, enrollment, billing, and reporting in support of internal and external partners
Ability to utilize Meritain’s proprietary system for analytical coding of detailed customized plans rather than standard offerings
Develops and executes implementation strategy consistent with client expectations
ensures strategy is administered in accordance with all performance guarantee arrangements
Consults and advises internal stakeholders on complex benefit administration
Advises on options to minimize manual processing and disruption for the clients
Uses business knowledge and experience to make plan design and processing recommendations when working with clients
Reviews benefit provisions to ensure compliance with state and federal mandates
Evaluation process may also include assessment of summary plan descriptions and other related documents prepared internally or externally by clients
Collaborates on review, analysis, and development of recommendations for the design of complex account and benefit structures based on customers’ objectives and Meritain’s system
Executes system setup and mapping of client level benefits to align with industry coding (ICD 10, place of service, healthcare reform, etc.), similar to entry level IT programming
Solicits and assesses internal and external customer feedback to drive continuous quality improvement on the renewal process (ie. system tools, resources, etc.)
Demonstrates Salesforce proficiency and understanding for cross functional communication and enable executive level status reporting

Requirements:

1-3 years of experience working with healthcare
1+ year of experience working with medical terminology
1-3 years of experience working quality, claims, and/or plan building
5+ years of experience working with healthcare
Experience working with Salesforce
1+ year of experience with various data systems, including DOS (Disk Operating Systems) or CRMs (Customer Relationship Management)
Ability to research and look beyond the initial answer to find the root of a concern
Ability to be highly organized and to quickly prioritize multiple assignments with high quality results
Strong communication skills with the ability to express complex concepts in a clear and concise manner
High attention to detail and accuracy while focusing on overall project deliverables
Ability to remain flexible yet focused during stressful situations
Analytical and problem-solving skills
Ability to work a hybrid schedule (3 days in office) out of Plymouth, MN, Amherst, NY, or Lansing, MI
High school diploma or GED

Nice to have:

Experience working with Salesforce
1+ year of experience with various data systems, including DOS (Disk Operating Systems) or CRMs (Customer Relationship Management)
Ability to research and look beyond the initial answer to find the root of a concern
Ability to be highly organized and to quickly prioritize multiple assignments with high quality results
Strong communication skills with the ability to express complex concepts in a clear and concise manner
High attention to detail and accuracy while focusing on overall project deliverables
Ability to remain flexible yet focused during stressful situations
Analytical and problem-solving skills

What we offer:

Affordable medical plan options
401(k) plan (including matching company contributions)
Employee stock purchase plan
No-cost programs for all colleagues including 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:
May 02, 2025

Expiration:
May 12, 2025

Employment Type:

Fulltime

Work Type:

Hybrid work

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Renewal Plan Builder