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 a Payer Contract Coordinator, you will be responsible for all Payer Contract Creation and Maintenance in support of accurate billing and collections. Your role is critical to ensure a smooth flow of payment to payers that allows CVS Health to quickly dispense and bill for thousands of medications that are vital to the health of our patients. We offer a comprehensive benefits package which includes medical, dental, vision insurance as well as a comprehensive list of supplemental list of benefits and discount programs. In addition to sixteen paid days off for employees, we also offer ten paid holidays

Role Overview

• Hybrid Role

What you will do

• Process and coordinate contract requirements and re-certifications both internally and externally with Payers and other authorized Agents.
• Monitoring Payer Reimbursement data in multiple systems and reports to ensure compliance with expected pricing
• Reimbursement rates in support of accurate billing and collections and contract/payer agreement compliance.
• Serves as a critical point of contact to healthcare billing and reimbursement operations.
• Routinely interface with multiple internal groups, including medical billers and coders, pharmacy technicians, and contract sales associates.

Required Qualifications

• 18+ months experience within healthcare or direct experience working for CVS Specialty Reimbursement Payer Relations
• 12+ months working with Microsoft Office, specifically Excel, Outlook and Word
• Must live within a 1 hour commute to the Monroeville, PA office.

Preferred Qualifications

• Experience with SharePoint
• Experience dealing with Contracts with Payers

Education

• High School Diploma or equivalent

Business Overview

At CVS Health, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.

We strive to promote and sustain a culture of diversity inclusion and belonging every day. CVS health is an equal opportunity and affirmative action employer.

We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, sex/gender, sexual orientation, gender identity or expression, age, disability or protected veteran status or on any other basis or characteristic prohibited by applicable federal, state, or local law. We proudly support and encourage people with military experience (active, veterans, reservists and national Guard) as well as military spouses to apply for CVS health job opportunities.

Our application process is 2 simple steps.

1. Apply online

2. Take our Virtual Job Tryout to fast track the recruitment process and start your career with CVS!

Pay Range

The typical pay range for this role is:

$17.00 - $28.46

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: 11/30/2024

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