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 PSL will serve as the Single Point Of Contact (SPOC) for the customer's human resources personnel (benefit coordinator, administrator, etc.) and respond, manage, and resolve escalated and complex global issues for Claims/Calls and PSS. Required Qualifications:
Want more jobs like this?
Get jobs in Tallahassee, FL delivered to your inbox every week.
- Must have previous AETNA Experience.
- Must be comfortable working until 5:30pm EST on most occasions.
- Attend/ participate in Sales meetings (travel required)
- Acts as a single-point-of-contact for escalated member-specific issues and/or broader plan administration matters
- Develops and implements a customer service account management plan for each account
- Support installation of new and existing accounts for the site by attending implementation planning/process meetings
- Participate in prospect calls and help with response to RFPs.
- Customer visits (at their location)
- Proactively identify and surface customer and plan issues for resolution while acting as a liaison to communicate workflow results, ideas and solutions.
- Proactively resolve issues with account executives, sales representatives, installation managers and the claims office as appropriate.
- Manage escalated customer issues
- Project lead for transition business in and out of service center
- Attend and act as consultants for on-site audits
- Assist customers and sales in understanding the impacts of non standard benefits
- Coordinate/handle ad hoc account manager (AM) request allowing the AM the ability to focus on developing strategies for new and existing business opportunities
- Proactively analyzes constituent data, identifies trends and issues.
- Identifies most urgent business problems, obtains necessary information, accurately identifies root causes and generates solutions.
- Initiates and maintains partnerships with others throughout the organization.
- Encourages cooperation by promoting common goals and building trust.
- Inspires, supports, and initiates cross-functional activities
- Demonstrates strong consultive skills and ability to influence constituents.
- Strong leadership skills
- Strong communication skills (verbal, written, presentation)
- Strong understanding of multiple aspects of the plans and products (ie: CCI coding)
- Ability to work with cross-functional business units and vendors to support customer's needs: promotes collaboration among constituents and represents a professional image of the company.
- Strong project management skills
- Critical thinking and decision making skills
- Auto adjudication knowledge (e.g. number of claims affected on non-standard plans, knowing when a benefit auto adjudicates)
- Strong knowledge of Aetna Standards.
- Highschool Diploma or G.E.D.
The typical pay range for this role is:$46,988.00 - $91,800.00This 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 HealthWe anticipate the application window for this opening will close on: 01/24/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.