- Collaborate with department leadership to develop, train, coach, and mentor team members; provide technical expertise critical for achieving key performance measures; review the work of others or assist in quality assurance initiatives

- Perform inventory and workload management across the team to achieve performance goals

- Manage assigned projects and ensure project plans and work tasks are in alignment with overall department and organizational goals; manage multiple tasks and shifting priorities

- Lead, develop, and support initiatives to improve productivity, accuracy, and internal processes

- Solve complex problems, take a new perspective on existing solutions, research and respond to eligibility and other enrollment related issues

- Collaborate and communicate with internal and external business partners to understand and implement enterprise initiatives and goals

- Evaluate complex or high visibility cases, identify risk and recommend appropriate measures to manage risk

- Operate independently and take initiative, anticipate and prevent problems and roadblocks before they occur, provide accurate and timely results

- Assist with and/or evaluate recommendations involving eligibility reporting solutions and negotiate with internal and external clients

Required Qualifications

- Experience as a Senior Eligibility Consultant or Advanced Analyst, Eligibility

- Proficiency in processing accurate and timely policy and eligibility data, ensuring services and products meet the plan sponsor needs

- Ability to manage multiple tasks and shifting priorities

- A team player capable of operating independently when needed

- Provides accurate and timely results

- Delegates and follows up as needed

- Demonstrated leadership skills, coaches and mentors others

- Ability to manage high work volume and oversee a variety of incoming work flows

- Excellent written and verbal communication skills which demonstrate the ability to interact courteously and effectively with both internal and external customers; skills include listening and comprehension, constructive feedback, spelling, grammar, proofreading, and telephone communication

- Demonstrated ability to creatively solve problems and create improvements

Education

High School diploma, G.E.D. or equivalent experience

Pay Range

The typical pay range for this role is:

$46,988.00 - $112,200.00

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.