Aug 24, 2019

Eligibility Administration Manager

  • Professional Diversity Network
  • Northbrook, IL 60062, USA
Full-Time Administration

Job Description

CVS Health

Job Description
The Eligibility Manager oversees a team whose primary function is managing new and existing Eligibility relationships with external clients. The manager participates in the interviewing / hiring process and manages the training track for new team members. Overall personnel management of the team includes writing and conducting semi-annual and annual performance reviews, providing ongoing coaching and career management.

The manager is also responsible for issue escalations requiring management support, monitoring daily tasks and work loads of their employees, quality assurance, and client assignments. The manager will also oversee individual internal projects from time to time and be expected to report and effectively communicate to management levels above them. Potential for travel 2-3 times per year.

Required Qualifications
- 6+ years of experience in client relationship management and/or eligibility within healthcare.

- 2+ years of PBM or HealthCare experience.

Preferred Qualifications
- Project Management skills are preferred.

- Technical aptitude, analytical, strong written and oral communication skills.

- Strong presentation and organizational skills.

- At least 1-2 years of management experience in a fast paced work environment.

- Ability to prioritize assignments for an entire team.

- Must have a strong understanding of the RxClaim system.

- Willingness and flexibility to travel 2-3 times per year.

- Bachelor's degree required; equivalent work experience may substitute

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 For technical issues with the Virtual Job Tryout assessment, contact the Shaker Help Desk at 1-877-987-5352.rj6-0dZKr-I_K



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