CVS Health
Associate Plan Builder (Meritain Health)
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Job Description
- Req#: R0503138
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Salary up to $93,574.00
- Eligibility for bonuses, commissions, or short-term incentive programs in addition to base pay
- Comprehensive benefits package including medical, dental, and vision coverage
- Opportunities for career advancement and professional development
- Flexible Paid Time Off (PTO) and paid holidays throughout the year
- Supportive workplace culture focused on well-being and community engagement
What to Expect (Job Responsibilities):
- Conduct plan benefit reviews and systematic setups for claims adjudication
- Engage with clients on benefit interpretation and compliance with mandates
- Facilitate client-facing reviews of plan setups, ensuring alignment with benefit interpretations
- Provide consultation and advice to internal stakeholders on benefit administration
- Execute system setup and mapping of client-level benefits in accordance with industry coding standards
What is Required (Qualifications):
- Experience in the healthcare industry (Customer Service, Claims, or Plan Build preferred)
- Proficiency in various data systems, with DOS systems being a plus
- Strong understanding of medical terminology
- Excellent organizational skills with the ability to prioritize multiple assignments
- Strong communication skills to convey complex concepts clearly
How to Stand Out (Preferred Qualifications):
- 5+ years of experience in the healthcare sector
- Familiarity with Salesforce
- Demonstrated ability to research and identify the root cause of issues
#HealthcareServices #ClaimsProcessing #CareerOpportunity #ComprehensiveBenefits #ProfessionalDevelopment
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We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.About the company
At CVS Health, we share a clear purpose: helping people on their path to better health. Through our health services, plans and community pharmacists, we’re pioneering a bold new approach to total health. Making quality care more affordable, accessible, simple and seamless, to not only help people get well, but help them stay well in body, mind and spirit.
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