Job Description:
As a Benefits Setup Rep II, you will be part of an extremely talented team within our Client Benefits department at CVS Health. You will be responsible for analyzing client requests and performing the necessary benefits coding. You will have other Benefits Coders, Testers, and Quality Assurance Representatives, as well as our Account Management team, to deliver high-quality support to our vast number of clients. Extreme attention to detail is important for this role, as your coding and quality assurance activities will impact not only the commercial clients at CVS Health but the federal and state programs that we participate in, such as Medicare Part D and Medicaid.
This is a fantastic opportunity to start your career in the Pharmacy Benefit Management (PBM)industry, as extensive training will be provided.
Pay Range;
The typical pay range for this role is:
Minimum: 17.00 Maximum: 27.90
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. The 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
Required Qualifications
2+ years of professional work experience in Claims, Insurance, QA, Testing or high-production environment
Preferred Qualifications
Previous work experience in PBM, Medical Claims, Health Insurance, Pharmacy or Benefits is highly preferred.
– Proficient use of Microsoft Office applications, e.g. Excel, Word – Project Management skills – SalesForce.com – RXClaims
Education
High School Diploma or GED Required Bachelors’ Degree Preferred
Business Overview
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™ supports 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. We strive to promote and sustain a culture of diversity, inclusion, and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected 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.
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