CVS Health
CVS Health
CVS Health is an American healthcare company working across healthcare services, health insurance, pharmacy benefits management, and retail pharmacy. Through businesses including Aetna and CVS Caremark, it supports health coverage, prescription access, condition management, specialty medications, and mail-order pharmacy services. Its neighborhood pharmacies and broader care offerings are designed to help people access essential healthcare more conveniently and affordably. CVS Health brings together insurance, pharmacy, and health services to support individuals and communities throughout their care journeys.

CVS Health Account Coordinator

Configure healthcare benefit plans and client accounts at CVS Health. Coordinate eligibility files, reporting, vendors, and system testing.

Description

  • Check client product and service selections for compatibility with existing systems and operating platforms.
  • Resolve issues and negotiate requirements for nonstandard plan selections.
  • Set up groups in the Meritain system, coordinating vendor partners, analytics, billing, and reporting requirements.
  • Advise and communicate with internal teams about new business and account revisions.
  • Verify account structures.
  • Set up complex accounts and detailed benefit plans accurately.
  • Oversee the internal installation process and track cases.
  • Run ad hoc data programs to streamline group and eligibility file setup.
  • Run ad hoc data programs to audit customized group enrollments.
  • Maintain monthly group reporting files in line with PHI guidelines.
  • Prepare monthly reports for clients and brokers.
  • Help test enhancements and changes to ER, EO, and GIM data files.
  • Partner with IT on programming design and user acceptance testing when account setup requires programming.

Requirements

  • Bring 1–3 years of healthcare operations experience.
  • Have a high school diploma or GED.
  • Have experience with DOS systems.
  • Bring Salesforce experience.
  • Excel skills are beneficial for analyzing and mapping group setups.
  • Be detail-oriented.
  • Be highly organized.
  • Have strong communication skills.
  • A bachelor's degree is preferred.

Benefits

  • May qualify for a CVS Health bonus, commission, or short-term incentive in addition to base pay.
  • Medical coverage.
  • Dental coverage.
  • Vision coverage.
  • Paid time off.
  • Retirement savings options.
  • Wellness programs.
  • Resources supporting physical, emotional, and financial well-being, subject to eligibility.

Related Jobs