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Senior Eligibility Consultant

https://www.cvshealth.com/ Logo

CVS Health

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Location:
United States , East Lansing

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Contract Type:
Employment contract

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Salary:

18.50 - 38.82 USD / Hour

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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