Senior Eligibility Consultant Jobs

Senior Eligibility Consultant

CVS Health

Location:
United States, East Lansing

Category:
Customer Service

Contract Type:
Employment contract

Salary:

18.50 - 38.82 USD / Hour

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Job Description:

Senior Eligibility Consultant role at CVS Health focused on processing policy and eligibility data, collaborating with business partners, resolving enrollment issues, and delivering consulting services to ensure services and products meet plan sponsor needs.

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

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

Nice to have:

Industry knowledge
Enrollment processing experience

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
Family leave
Dependent care resources
Colleague assistance programs
Tuition assistance
Retiree medical access

Additional Information:

Job Posted:
August 28, 2025

Employment Type:

Fulltime

Work Type:

Hybrid work

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