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Healthcare Eligibility Consultant

Company: CVS
Location: Irving
Posted on: November 11, 2019

Job Description:

Title Healthcare Eligibility Consultant No. of Positions 1 Position Summary CVS/Caremark, the Pharmacy Benefit Management (PBM) division of CVS Health, is looking for an Healthcare Eligibility Consultant to join our Eligibility Administration Department. As an Healthcare Eligibility Consultant for a Fortune 10 organization, you will impact and support customers in all areas including Commercial, Medicare, Healthcare Plans & Group Waiver Plans (EGWP). Primary responsibilities of the Healthcare Eligibility Consultant include: - Acting as a client facing eligibility data subject matter expert - Input of eligibility file and data configuration parameters within claims processing system - Researching and consulting to improve eligibility data integrity and ensure excellent service delivery - Constantly improving healthcare basic analytical skills that are needed to perform data analysis - Resolving eligibility file processing issues on a daily basis - Consulting on healthcare data needs - Having exceptional time management and client management skills - Continuous development training will be provided in this role to ensure the Healthcare Eligibility Consultant is able to exceed client expectations in this fast-paced environment Req ID *******BR Sourcing Requisition No State TX Business Area CVS Health Location - State/City TX - Irving Job Category Analytics, Business Analyst, Information Systems City Irving Preferred Qualifications - 2+ years in eligibility or other relevant background - 2+ years customer service or client-facing experience in a fast-paced environment - Experience with EDI (Electronic Data Interchange) - Understanding of the Pharmacy Benefit Management industry - Experience in a healthcare client facing role - Experience in a fast paced environment - Knowledge of ANSI X12 834 Data Documents - Familiarity with RxClaim and/or AS400 Country United States Job Type (Expected Hours Category) Full Time Street Address 750 W John Carpenter Fwy Ste 1200 Location code OF146 Requisition Template Professional Education - High School Diploma or GED required - Bachelor's Degree preferred FLSA Exempt Clinical Licensure Required N/A Zip Code 75039 Required Qualifications - 1+ years in PBM or healthcare eligibility, insurance, IT, or benefits, environment with a strong ability to work independently, problem solve, analyze data and consult with external partners in a confidential healthcare environment Business Overview It's a new day in health care. Combining CVS Health and Aetna was a transformative moment for our company and our industry, establishing CVS Health as the nation's premier health innovation company. Through our health services, insurance plans and community pharmacists, we're pioneering a bold new approach to total health. As a CVS Health colleague, you'll be at the center of it all. We offer a diverse work experience that empowers colleagues for career success. In addition to skill and experience, we also seek to attract and retain colleagues whose beliefs and behaviors are in alignment with our core values of collaboration, innovation, caring, integrity and accountability. CVS Health is an equal opportunity/affirmative action employer. Gender/Ethnicity/Disability/Protected Veteran - we highly value and are committed to all forms of diversity in the workplace. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities. 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. We provide reasonable accommodations to qualified individuals with disabilities. If you require assistance to apply for this job, please contact our Advice and Counsel Reasonable Accommodations team. Please note that we only accept applications for employment via this site. If technical issues are preventing you from applying to a position, contact Kenexa Helpdesk at 1-************ or ***************************. For technical issues with the Virtual Job Tryout assessment, contact the Shaker Help Desk at 1-************. Skills/Requirements Job Reference #: ******* Job Status: Date Posted: 10/23/2019 Pay Rate: Recruiter and Available Location Information -, Irving, TX 75014

Keywords: CVS, Irving , Healthcare Eligibility Consultant, Professions , Irving, Texas

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