Medicare Eligibility Consultant

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

The successful candidate will verify enrollment information, makes changes to member demographic data, research creditable coverage information, and addresses a variety of enrollment questions or concerns. Maintains enrollment data in eligibility systems to ensure compliance with CMS guidance requirements.Fundamental Components

• Meet Monthly Metrics as defined by department.
• Participate in cross training on various products and platforms to ensure Enrollment metrics are met.
• Take ownership to resolve customer issues using all available resources including process flows and CMS guidance.
• Identifying training opportunities and/or reference resources to improve knowledge and processing.
• Escalate suggestions for systems and process updates to senior or management.
• Demonstrate professionalism, active listening skills and processing knowledge when communicating with internal and external customers.
• Reinvigorate our culture around member experience by prioritizing, collaborating, being accountable and communicating.
• Understand the processes you work and possible impacts to other departments.
• Demonstrate measurable improvement in quality of processing from year to year by reducing your personal errors from occurring.
• Work collaboratively with a Senior if you identify potential system issues and provide detailed information with possible impacts.

• Working knowledge of Microsoft Office products (Word, Excel, PowerPoint, Outlook) and Internet Explorer.
• Computer skills.
• Strong verbal and written communication skills.
• Attention to detail and accuracy.

• Medicare industry experience.
• Familiarity with Medicare Enrollment systems
• Problem solving skills.
• Strong organization skills.
• Understands the impact of work to other teams and downstream support areas.
• Ability to analyze and research data to make appropriate corrections as necessary.

• High School Diploma/GED, or equivalent experience.