Eligibility Consultant

Posted:
8/11/2024, 5:00:00 PM

Location(s):
South Carolina, United States

Experience Level(s):
Junior ⋅ Mid Level

Field(s):
Consulting

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.
 
Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.

Position Summary

- As an Eligibility Consultant you will respond, research, and resolve eligibility and other enrollment related issues/requests involving member specific information

-The eligibility Consultant must have a full understanding of Medicare Guidelines and the global processes within Enrollment Operations.

- Manually process eligibility and enrollment updates across multiple
systems

- Resolve tasks and requests within required turnaround times

- Analyze and validate operational fallout reports and resolve record exceptions accordingly  
- The Eligibility Consultant will participate in special
projects as needed
- Participate in inter-departmental process reviews and
training.

Required Qualifications
- Customer Service Background.
- Candidate must be proficient in MS Excel and Word.


Preferred Qualifications
- Excellent verbal and written communication skills are
required, as is the ability to develop and maintain
collaborative working relationships.
- MS Access experience is a plus.


Education

- High School Diploma or GED

Pay Range

The typical pay range for this role is:

$17.00 - $34.15

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.  The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.  
 
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities.  The Company offers a full range of medical, dental, and vision benefits.  Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees.  The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners.  As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.  
 
For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits

We anticipate the application window for this opening will close on: 08/23/2024

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

CVS Pharmacy Inc

Website: https://cvshealth.com/

Headquarter Location: Woonsocket, Rhode Island, United States

Employee Count: 10001+

Year Founded: 1963

IPO Status: Public

Last Funding Type: Post-IPO Equity

Industries: Health Care ⋅ Medical ⋅ Pharmaceutical ⋅ Retail ⋅ Sales