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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

The Member Disputes Sr. Coordinator requires a motivated individual who is looking to partner with an industry leading company.  The Sr. Coordinator is part of our PBM Finance Operations Member Experience team.  In this role, the colleague will play in an important part of the department’s ongoing success related to improving our member’s experience.  The colleague must have excellent written and verbal customer service skills to interact with key stakeholders and members on a regular basis. 

Key Responsibilities:

-Manage an assigned book of business consisting of a particular type of member- initiated disputes related to mail order prescription balances

-Monitor various assigned queues (via Resolution Manager, Compass, emails, paper mail, eFax, SharePoint) for incoming disputes and ensure timely resolution to meet departmental and client service level agreements

-Customer Service support related to internal and external customer requests

-Communicate results directly to members and internal business partners regarding dispute research outcomes

Required Qualifications

-PBM Finance Operations experience strongly preferred

-Medicare Part D experience

-Proficient with MS Office including Word, Excel, Access, and PowerPoint

-Ability to handle high volume of financial activity and requests

-Assertive follow-up skills, strong organization skills, and attention to detail

-Ability to communicate results of research and analysis verbally and in written form to all levels of the organization, internal and external stakeholders including PBM members

Education

-High School Diploma or equivalent required

-Bachelor’s Degree preferred

Pay Range

The typical pay range for this role is:

$18.50 - $38.82

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.  This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. 
 
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 Benefits | CVS Health

We anticipate the application window for this opening will close on: 01/03/2025

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