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Senior Eligibility Consultant

https://www.cvshealth.com/ Logo

CVS Health

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Location:
United States, East Lansing, Michigan

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Category:
Customer Service

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Contract Type:
Employment contract

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Salary:

43888.00 - 93574.00 USD / Year

Job Description:

The Senior Eligibility Consultant is responsible for this department’s most complex and highest valued clients, also working and resolving complex issues. This person will translate direction and intent into actionable items while operating with minimal supervision, while maintaining a consultative nature when working with other departments, clients, and brokers. The Senior Eligibility Consultant will coach and mentor junior staff, develop and execute training plans, coordinate and set daily objectives, identify and implement process improvements and efficiencies, serve as SME (Subject Matter Expert), and function as the highest level of escalation prior to manager and/or director involvement. This person also has a major role in the eligibility file process, which may include troubleshooting, error reports, and user acceptance testing.

Job Responsibility:

  • Translate direction and intent into actionable items while operating with minimal supervision
  • Maintain a consultative nature when working with other departments, clients, and brokers
  • Coach and mentor junior staff
  • Develop and execute training plans
  • Coordinate and set daily objectives
  • Identify and implement process improvements and efficiencies
  • Serve as SME (Subject Matter Expert)
  • Function as the highest level of escalation prior to manager and/or director involvement
  • Troubleshoot, error reports, and user acceptance testing for the eligibility file process

Requirements:

  • 1+ years of experience working with eligibility/COBRA, including a demonstrated proficiency in processing accurate and timely policy and eligibility data & files
  • 1+ years of excellent customer service skills with the ability to communicate effectively with both internal and external customers

Nice to have:

  • Previous experience as a Senior Eligibility Consultant
  • Understands intent/end state and operates with minimal guidance to meet that intent/end state
  • Ability to manage multiple tasks and priorities
  • Team player, while maintaining the ability to operate independently as needed
  • Provides accurate and timely results
  • Delegates and follows up as needed
  • Coaches and mentors others
What we offer:
  • Affordable medical plan options
  • 401(k) plan with 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:
August 14, 2025

Expiration:
August 25, 2025

Employment Type:
Fulltime
Work Type:
Hybrid work
Job Link Share:
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