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Client Benefits Senior Manager
at CVS Health
Irving, TX

Client Benefits Senior Manager
at CVS Health
Irving, TX

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Description

Job Description
As the Client Benefits Senior Manager, you will be responsible for leading all aspects of the day-to-day operations of Clinical Requirement Advisors, coding managers, and support staff. You will ensure the clinical components such as Formulary and Utilization Management rules are set up in compliance with client requests. You will also work closely with Benefits Leadership, Account Managers, CRA and BRM's, clients, and occasionally clinical advisors to set up and roll out products and programs based on direction from the client. Some of your key responsibilities will include, but are not limited to:
- Leading professional employees and/or supervisors
- Delivering Reports on day to day activities using metrics and data from Salesforce
- Identifying potential risk and Performance Guarantee agreements using available tools and resources
- Coaching your team to identify and resolve challenges by analyzing information and determining the appropriate solutions and driving to practical and creative solutions
- Encouraging teamwork and a supportive departmental culture with an emphasis on ensuring outstanding client service
- Monitoring business needs and developing documented processes and procedures as needed to build and maintain effective and productive workflows
- Collaborating with other teams to resolve administration related issues and workflow issues

Your success will be driven by the success of your team in their goals for exceeding client satisfaction score targets as well as contributing to reduced service warranty payments to clients. Your healthcare industry knowledge, staff development and process improvement skills will also be a key component to your success. You will operate in a dynamic environment with tight deadlines so ability to operate autonomously and make key decisions is imperative. The contributions you will make will position CVS Health as a leader in client satisfaction and service in the PBM marketplace.

Required Qualifications
* 8+ years of clinical operations, clinical requirements, clinical coding, or similar field within a healthcare/PBM industry
* At least 3 years of demonstrated leadership experience, coaching and mentoring high performing teams

Preferred Qualifications
* Expert Level RxClaim experience
* Experience working in Sales Force.com
* Outstanding Client Facing Soft Skills

Education
* Bachelor Degree is required
* Equivalent experience may be considered

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 1-855-338-5609 or cvshealthsupport@us.ibm.com. For technical issues with the Virtual Job Tryout assessment, contact the Shaker Help Desk at 1-877-987-5352.

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