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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

CVS/Caremark, the Pharmacy Benefit Management (PBM) division of CVS Health, is looking for an Enrollment Analyst to join our Eligibility Administration Department. As an Enrollment Analyst for a Fortune 10 organization, you will impact and support customers in all areas including Commercial, Medicare, Healthcare Plans & Group Waiver Plans (EGWP). 

  Primary responsibilities of the  Enrollment Analyst include:  
  - Acting as a healthcare data subject matter expert on Eligibility guidelines and Electronic Data Interchange (EDI) protocol for clients 
  - Researching and consulting to improve healthcare data integrity and ensure excellent service delivery 
  - Constantly improving healthcare analytical skills that are needed to perform data analysis 
  - Resolving data enrollment issues on a daily basis 
  - Consulting on healthcare data needs 
  - Having exceptional time management and healthcare client management skills 
  - Continuous development training will be provided in this role to ensure the  Enrollment Consultant  is able to exceed client expectations in this fast-paced environment

Required Qualifications
1+ years in healthcare data eligibility, insurance, IT, benefits, or data analytics environment with a strong ability to work independently, problem solve, and analyze data in a confidential healthcare environment

Preferred Qualifications

- 3+ years in eligibility or other relevant background  
- 2+ years customer service or client-facing experience in a fast-paced environment   
- Experience in EDI (Electronic Data Interchange)
- Understanding of the PBM industry 
- Experience in a healthcare client facing role 
- Experience in a fast paced environment 
- Knowledge of ANSI X12 834 Data Documents 
- Familiarity with RxClaim and/or AS400 

Education

- High School Diploma or GED required
- Bachelor's Degree preferred

Pay Range

The typical pay range for this role is:

$43,888.00 - $93,574.80

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: 10/31/2024

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