Benefits Setup Rep II
Irving , Texas
October 17, 2017
Position Summary:
The Global Maintenance Form (GMF) team Benefit Set-up Rep II will be expected to analyze client benefit requests, determine best operational approach and perform coding and testing for commercial and health exchange business. The GMF team is also expected to validate coding accuracy utilizing various tools to ensure no financial impact or client/participant dissatisfaction. Responsibilities include, but are not limited to, meeting or exceeding turnaround time and quality standards, as well as researching client benefit requests and issues. The members of the GMF team are expected to demonstrate a high level of client service through the execution of accuracy, responsiveness, reliability, and professionalism on every interaction in a fast-paced Client Services Team. All team members must positively demonstrate the ability to be flexible and adaptive to change.

Required Qualifications:
1+ year of coding experience.

Preferred Qualifications:
• Knowledge of health care industry
• Proficient in analyzing and executing clinical and non-clinical client work requests
• Thorough understanding of RxClaim platform/system applications/products
• 2+ years of relevant work experience
• Coding experience is required
• Benefit design experience and understanding of system functionality and limitations
• Well organized with the ability to effectively and independently prioritize work
• Excellent time management skills
• Excellent interpersonal and collaborative skills with the ability to work in a team environment
• Customer focused and attention to detail
• Able to meet aggressive turnaround time standards/client performance guarantees coupled with excellent quality
• Ability to work effectively with multiple functional areas
• Flexible in adapting to change
• Ability to learn and apply increasingly complex concepts, policies and procedures
• Excellent verbal and written communication skills
• Motivation to learn and grow within the organization
• Proficient use Microsoft Office applications, e.g. Excel, Word

High School Degree/GED required
Bachelor's degree preferred

Business Overview:
CVS Health, through our unmatched breadth of service offerings, is transforming the delivery of health care services in the U.S. We are an innovative, fast-growing company guided by values that focus on teamwork, integrity and respect for our colleagues and customers. What are we looking for in our colleagues? We seek fresh ideas, new perspectives, a diversity of experiences, and a dedication to service that will help us better meet the needs of the many people and businesses that rely on us each day. As the nation’s largest pharmacy health care provider, we offer a wide range of exciting and fulfilling career opportunities across our three business units – MinuteClinic, pharmacy benefit management (PBM) and retail pharmacy. Our energetic and service-oriented colleagues work hard every day to make a positive difference in the lives of our customers.

CVS Health is an equal opportunity employer. We do not discriminate in hiring or employment against any individual on the basis of race, ethnicity, ancestry, color, religion, sex/gender (including pregnancy), national origin, sexual orientation, gender identity or expression, physical or mental disability, medical condition, age, veteran status, military status, marital status, genetic information, citizenship status, unemployment status, political affiliation, or on any other basis or characteristic prohibited by applicable federal, state or local law. CVS Health will consider qualified job candidates with criminal histories in a manner consistent with federal, state and local laws. CVS Health will not discharge or in any other manner discriminate against any Colleague or applicant for employment because such Colleague or applicant has inquired about, discussed, or disclosed the compensation of the Colleague or applicant or another Colleague or applicant. Furthermore, we comply with the laws and regulations set forth in the following EEO is the Law Poster: EEO IS THE LAW and EEO IS THE LAW SUPPLEMENT

Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. If you require assistance to apply for this job, please contact us by clicking AA EEO CVS Health

For inquiries related to the application process or technical issues please contact the Kenexa Helpdesk at 1-855-338-5609. For technical issues with the Virtual Job Tryout assessment, contact the Shaker Help Desk at 1-877-987-5352. Please note that we only accept resumes via our corporate website:

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