Employer Industry: Healthcare Services

Why consider this job opportunity:
- Salary up to $93,574.00
- Eligible for CVS Health bonus, commission, or short-term incentive program
- Comprehensive medical, dental, and vision benefits
- Opportunities for career advancement and professional development
- Supportive work environment with a focus on employee well-being
- Paid Time Off (PTO), paid holidays, and additional time off consistent with state law

What to Expect (Job Responsibilities):
- Provide plan benefit review, interpretation, and systematic setup for claims adjudication
- Engage in discussions with clients regarding benefit interpretation and compliance with mandates
- Facilitate client-facing reviews to ensure alignment of plan setups
- Consult with internal stakeholders on benefit administration to minimize disruptions
- Execute system setup and mapping of client-level benefits in alignment with industry coding

What is Required (Qualifications):
- Healthcare industry experience (Customer Service, Claims, or Plan Build preferred)
- Proficiency with various data systems (experience with DOS systems is a plus)
- Strong understanding of medical terminology
- Highly organized with the ability to prioritize multiple assignments effectively
- Excellent communication skills with attention to detail and accuracy

How to Stand Out (Preferred Qualifications):
- 5+ years of experience working in healthcare
- Familiarity with Salesforce
- Strong analytical and problem-solving skills, with the ability to research and address underlying issues

#HealthcareServices #ClaimsProcessing #CareerOpportunity #CompetitivePay #EmployeeBenefits

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