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 Senior Coordinator, Med D Coordination of Benefits, role requires an ambitious, motivated, and eager individual looking to work for an industry-leading company. The position is in our PBM Finance Operations Member Experience department and will be part of the Medicare Coordination of Benefits (COB)/Medicare Secondary Payer (MSP) team, a group responsible for ensuring the appropriate adjudication of claims across multiple payers.As a Senior Coordinator, you will be responsible for reviewing and interpreting claims data in all adjudication platforms. You will take part in a variety of tasks and projects across the COB/MSP team. To be successful in this role, you will need to communicate effectively in individual and group situations, as well as the ability to plan assignments, develop action plans, and complete tasks in a timely manner.Required Qualifications
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- 1+ year of professional work experience in a financial operations, claims, customer service, or other healthcare related role
- 1+ year of experience and proficient with Microsoft Office applications (Word, Excel, PowerPoint)
- Experience with CVS Caremark PBM business operations and practices
- Experience utilizing the AS400 system
- Familiar with Medicare Part D standards and practices
- Demonstrated ability to handle high volume workloads with defined turnaround times, coupled with strong attention to detail and quality
- Flexible and adaptable to changing priorities
- Demonstrated ability to analyze data and determine conclusions.
- Ability to learn increasingly complex concepts, regulations, policies, and procedures
- High School Diploma or equivalent
40Time Type
Full timePay Range
The typical pay range for this role is:$18.50 - $35.29This 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: 03/06/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.