Senior Eligibility Consultant, CVS Health

CVS Health

Location:
United States, East Lansing

Category:
Customer Service

Contract Type:
Not provided

Salary:

18.50 - 38.82 USD / Hour

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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:

Process accurate and timely policy and eligibility data utilizing administration systems for claim payment purposes and product production
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:

1-2 years of experience as an Eligibility Consultant
demonstrated proficiency in processing accurate and timely policy and eligibility data
ability to understand and meet intent/end state with minimal guidance
must reside in Lansing, MI
ability to work a hybrid schedule (3 days in the office per week)

Nice to have:

Coaches and mentors others
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
ability to manage high work volume and oversee a variety of incoming workflows
drafting process documents
strong background in communication

What we offer:

Affordable medical plan options
a 401(k) plan (including matching company contributions)
an 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:
August 14, 2025

Expiration:
August 29, 2025

Employment Type:

Fulltime

Work Type:

Hybrid work

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Senior Eligibility Consultant