CrawlJobs Logo

Senior Eligibility Consultant

https://www.cvshealth.com/ Logo

CVS Health

Location Icon

Location:
United States , East Lansing

Category Icon
Category:
Customer Service

Job Type Icon

Contract Type:
Employment contract

Salary Icon

Salary:

18.50 - 38.82 USD / Hour
Save Job
Save Icon
Apply Position

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:

  • Process accurate and timely policy and eligibility data utilizing administration systems for claim payment purposes and product production ensuring services and products meet plan sponsor needs
  • Collaborate with business partners to understand enterprise initiatives and goals
  • Respond to eligibility and other enrollment related issues
  • Partner directly with clients, vendors, internal teams, and/or local claim operation to resolve problems and achieve positive outcomes
  • Anticipate and prevent problems and roadblocks before they occur
  • Solve complex problems and take a new perspective on existing solutions
  • Design, develop, and deliver transitional training processes and procedures to smooth the transition for newly hired employees from formalized classroom training to the department’s production environment
  • mentor junior team members
  • Assist with and/or evaluate recommendations involving eligibility reporting solutions and negotiate with internal/external clients
  • Deliver consulting services in support of data discrepancies and/or involving reporting alternatives

Requirements:

  • 2+ years experience as an Eligibility Consultant
  • Proficiency in processing accurate and timely policy and eligibility data, ensuring services and products meet the plan sponsor needs
  • Understands intent/end state and operates with minimal guidance to meet that intent/end state
  • Ability to manage multiple tasks and shifting priorities
  • A team player capable of operating independently when needed
  • Provides accurate and timely results
  • Delegates and follows up as needed
  • Coaches and mentors others
  • Ability to manage high work volume and oversee a variety of incoming work flows

Nice to have:

  • Industry knowledge
  • Enrollment processing experience
What we offer:
  • Medical, dental, and vision coverage
  • Paid time off
  • Retirement savings options
  • Wellness programs
  • Bonus, commission or short-term incentive program

Additional Information:

Job Posted:
May 10, 2026

Expiration:
May 22, 2026

Employment Type:
Fulltime
Work Type:
Hybrid work
Icon
CVS Health - All Job Offers
Job Link Share:
Copy Link Icon
Facebook Icon Twitter Icon LinkedIn Icon

Looking for more opportunities? Search for other job offers that match your skills and interests.

Briefcase Icon

Similar Jobs for Senior Eligibility Consultant

Senior Eligibility Consultant

Senior Eligibility Consultant role at CVS Health focused on processing policy an...
Location
Location
United States , East Lansing
Salary
Salary:
18.50 - 38.82 USD / Hour
https://www.cvshealth.com/ Logo
CVS Health
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • 2+ years experience as an Eligibility Consultant
  • Proficiency in processing accurate and timely policy and eligibility data
  • Understands intent/end state and operates with minimal guidance
  • Ability to manage multiple tasks and shifting priorities
  • A team player capable of operating independently when needed
  • Provides accurate and timely results
  • Delegates and follows up as needed
  • Coaches and mentors others
  • Ability to manage high work volume and oversee a variety of incoming work flows
  • High School diploma, G.E.D. or equivalent experience
Job Responsibility
Job Responsibility
  • Process accurate and timely policy and eligibility data utilizing administration systems
  • Collaborate with business partners to understand enterprise initiatives and goals
  • Respond to eligibility and other enrollment related issues
  • Partner directly with clients, vendors, internal teams to resolve problems
  • Anticipate and prevent problems and roadblocks before they occur
  • Solve complex problems and take a new perspective on existing solutions
  • Design, develop, and deliver transitional training processes
  • Mentor junior team members
  • Assist with recommendations involving eligibility reporting solutions
  • Deliver consulting services in support of data discrepancies
What we offer
What we offer
  • Affordable medical plan options
  • 401(k) plan with matching company contributions
  • Employee stock purchase plan
  • Wellness screenings
  • Tobacco cessation programs
  • Weight management programs
  • Confidential counseling
  • Financial coaching
  • Paid time off
  • Flexible work schedules
  • Fulltime
Read More
Arrow Right

Senior Consultant

About the role. You will: Conduct sales and proposal activities, including build...
Location
Location
Japan , Tokyo
Salary
Salary:
Not provided
sollers.eu Logo
Sollers Consulting
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • At least 10 years of professional experience in one of the following areas: IT (SI, IT consulting, or IT department handling system implementation, requirements gathering, design, development, operations, or maintenance)
  • Insurance (underwriting, claims, product development, or sales)
  • Project management (PM, PL)
  • Consulting (system or IT consulting)
  • Business-level English proficiency (reading, writing, and business discussions)
  • At least N1 level Japanese proficiency
  • Eligibility to work in Japan on a full-time basis
  • A bachelor’s degree
  • Interest in IT consulting and sales activities in Japan
Job Responsibility
Job Responsibility
  • Conduct sales and proposal activities, including building relationships with CxOs, executives, and managers of insurance companies, understanding client needs, and creating and delivering presentations
  • Engage in all stages of the process, from sales proposals to project delivery, with significant autonomy
  • Act as an IT consultant, collaborating with teams in Japan and European offices, primarily for financial institutions, particularly insurance companies in Japan
  • Drive IT projects by working closely with developers and other teams on requirements definition, design, testing, and client communication
  • Support marketing activities to expand the business, including participation in domestic and international conferences (Japan, US) and organizing in-house events and webinars
  • Be a key part of growing the Japan office with the influence on the future shape of it
What we offer
What we offer
  • Flexible working hours and a hybrid home office model (2-3 times per week in the office)
  • A chance to be promoted twice a year and a clearly defined career path with salary forecast
  • Opportunities for growth with a training budget that you can use for courses and conferences
  • Access to an online training platform and co-fund language classes
  • An internal coach to guide you through the onboarding, further training and career opportunities, plus a budget to be used for your lunches together
  • A chance to #domore for the planet and the community as part of Sollers Change Makers – our volunteering program
  • Lots of teambuilding activities, trips, hobby groups and cultural events
  • Fulltime
Read More
Arrow Right

Senior Consultant

Delta Solutions & Strategies is seeking a highly skilled and motivated Senior Co...
Location
Location
United States , Huntsville
Salary
Salary:
Not provided
deltasands.com Logo
Delta Solutions & Strategies
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Bachelor's degree (or 10 years additional experience)
  • 10 years of DoD Acquisition or weapon system experience
  • Current/relevant Army knowledge and background
  • Ability to identify and resolve challenges at a strategic level
  • Ability to brief/interact with senior (GO/FLAG) level officers and senior civilians
  • Secret clearance and eligible to obtain TS with Special Compartmented Information (SCI) and Special Access Programs (SAP) access
Job Responsibility
Job Responsibility
  • Support office leadership with task management and workload prioritization
  • Address office organization and record keeping
  • Address office financial management and execution of the program
  • Use both WEBEX and MS Teams to set up meetings
  • Take meeting minutes and manage the attendee's roster for multiple IPTs, IPTs, working groups, PMRs, etc
  • Support Office FMS case development
  • Manage/track the deliveries of Office Government Furnished Equipment
  • Develop Office PPT briefings and present briefings to leadership in absence of IPM
  • developing and updating briefing slides in PowerPoint
  • some writing for publications
What we offer
What we offer
  • medical
  • dental
  • vision
  • life insurance
  • 401(k)
  • PTO
  • paid holidays
  • parental
  • military and jury duty paid leaves
  • Fulltime
Read More
Arrow Right

Senior Cyber Security Consultant

As a Senior Cyber Security Consultant at Actica, you will have the opportunity t...
Location
Location
United Kingdom , London; Guildford; Bristol; M4 corridor
Salary
Salary:
Not provided
actica.co.uk Logo
Actica Consulting
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Experience of complex ICT systems in a technical delivery or consulting capacity
  • A good understanding of enterprise information and communications technology
  • The ability to present and justify conclusions to project teams and business stakeholders
  • Proven abilities in delivering to client expectations and requirements
  • Strong verbal and written communications skills
  • Must be eligible and willing to obtain UK Government Security Clearance
Job Responsibility
Job Responsibility
  • Providing security expertise for major system procurements and Agile programmes
  • Identifying, analysing and evaluating information risks across a range of programmes, projects and systems
  • Explaining to risk owners and other stakeholders the causes, likelihood and potential business impacts of information risks throughout the information system lifecycle
  • Authoring and/or supporting the development of security assurance documentation in accordance with risk management frameworks
  • Developing or reviewing new security architectures that mitigate the risks posed by new technologies and business practices
  • Scoping security testing activities, and explaining the results and required remediation
  • May lead assignments and be responsible for supervising direct reports
What we offer
What we offer
  • 25 days of paid leave per annum plus 8 UK bank holidays
  • Discretionary, Performance-Based Bonus Scheme
  • Enrolment in Stakeholder Pension Scheme
  • Cycle To Work Scheme
  • Employee Assistance Programme
  • Electric Vehicle Leasing Scheme
  • Private Medical Insurance
  • Substantial training leading to nationally recognised certifications
  • Mentor support
  • Performance and Development Manager
  • Fulltime
Read More
Arrow Right

Audit Associate

Established in 1991, Bauknight Pietras & Stormer, P.A. (“BPS”) is among the Sout...
Location
Location
United States , Columbia
Salary
Salary:
Not provided
bps.cpa Logo
Bauknight Pietras & Stormer
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • CPA license or eligibility to take CPA exam
  • Ability to work additional hours as needed
  • Bachelor’s Degree in Accounting
  • Strong written and oral communication skills
Job Responsibility
Job Responsibility
  • Assist with various attestation engagements including financial statement audits and agreed-upon procedures as well as other engagements such as compilation, forensic accounting, bankruptcy, financial forecasts and projections, cash flow and budgeting analysis and other business consulting
  • Communicate and work in a team environment on a variety of projects
  • Maintain communication with seniors and supervisors to manage expectations and meeting deadlines
What we offer
What we offer
  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Flexible schedule
  • Health insurance
  • Paid time off
  • Vision insurance
  • Profit sharing plan
  • Banked overtime program where associates can bank overtime throughout the year and then use the banked overtime for additional vacation days during the year or take the banked overtime in pay at the end of the year
  • Fulltime
Read More
Arrow Right

Senior Employment Consultant

Do you have Employment Services experience and enjoy leading and supporting your...
Location
Location
Australia , Mirrabooka
Salary
Salary:
Not provided
assureprograms.com.au Logo
Assure
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • be eligible to work in Australia
  • have a current driver’s licence and a comprehensively insured vehicle
  • be willing to complete a Criminal History Check
  • be able to secure a Working with Children Safely Card
Job Responsibility
Job Responsibility
  • Develop and provide employment strategies to drive positive performance
  • Network and market APM services to secure new referrals to our service
  • Train and support your staff to be high performing Employment Consultants
  • Provide tailored employment services to a small number of job seekers
  • Support the Business Manager in achieving team KPI's
  • Keep current on industry trends and be capable of adapting accordingly
  • Complete all necessary administration to the required standard ensuring full compliance
What we offer
What we offer
  • opportunity to grow your career in Human Services, across multiple global brands and geographies
  • great work-life balance
  • extensive learning opportunities
  • networking programs
  • employee benefits
  • Fulltime
Read More
Arrow Right

Senior Rehabilitation Consultant

Interact is a leading provider of allied health, occupational health and safety,...
Location
Location
Australia , Ballina
Salary
Salary:
Not provided
assureprograms.com.au Logo
Assure
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Current unrestricted (or eligibility for) registration or membership with the relevant industry body (AHPRA, ESSA or ASORC)
  • Occupational Rehabilitation experience is highly regarded
  • Tertiary qualifications in Occupational Therapy, Physiotherapy, Exercise Physiology or Nursing
  • Strong clinical reasoning
  • Ability to engage across multidisciplinary teams to support the achievement of a common goal
  • Passion to help people rehabilitate
  • Demonstrated ability to work autonomously
Job Responsibility
Job Responsibility
  • Develop and nurture relationships with employers seeking return to work support for their organisation
  • Case management for injured workers who are needing physical and/or psychological support to return them back to employment
  • Taking a more holistic care approach, establish key relationships with health professionals and work within a multidisciplinary team to support the journey from rehab to healing
  • Perform a variety of assessments depending on your area of clinical expertise. This could include functional capacity evaluations, worksite, ergonomic or activities of daily living assessments
  • Collaborate with a variety of stakeholders, including the injured employee, employer, medical specialists and other allied health professionals to develop, implement and monitor rehabilitation plans
What we offer
What we offer
  • Access to the fitness passport program plus discounts at hundreds of retail outlets
  • Autonomy, flexibility and the ability to manage your own calendar to suit your best work life balance
Read More
Arrow Right

Consultant Rheumatologist

An exciting opportunity has arisen for a Consultant Rheumatologist to join a sup...
Location
Location
United Kingdom
Salary
Salary:
109725.00 - 145478.00 GBP / Year
remediumpartners.com Logo
Remedium Partners
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • MBBS or equivalent medical qualification
  • Full GMC Registration with a licence to practise
  • Entry on the GMC Specialist Register in Rheumatology, or within 6 months of CCT
  • CESR applicants are welcome where eligible
  • Broad experience in Rheumatology at Consultant or senior trainee level
  • Ability to independently manage general Rheumatology cases
  • Experience delivering outpatient and inpatient Rheumatology care
  • Minimum 1 year NHS experience
  • Evidence of clinical audit and implementation of service improvements
  • Understanding of governance and quality standards
Job Responsibility
Job Responsibility
  • Provide comprehensive Consultant-led Rheumatology services for outpatients and inpatients
  • Assess, diagnose, and manage a broad range of rheumatological disorders, including inflammatory arthritis, connective tissue disease, vasculitis, osteoporosis, and musculoskeletal conditions
  • Deliver new patient clinics, follow-up clinics, urgent inflammatory arthritis pathways, and giant cell arteritis services
  • Review ward referrals and provide specialist inpatient consultation
  • Work collaboratively with specialist nurses to manage DMARDs and biologics, monitor pathways, and provide patient education
  • Participate in multidisciplinary meetings and regional case discussions
  • Supervise and support junior doctors, foundation trainees, and speciality trainees
  • Deliver undergraduate and postgraduate teaching, including grand rounds and training sessions
  • Contribute to clinical governance, audit, quality improvement, and service development
  • Participate in research projects and innovation initiatives where appropriate
  • Fulltime
Read More
Arrow Right