What are the responsibilities and job description for the Client Benefits Manager position at CVS Health?
Job Description
As a Client Benefits Manager,
You will be responsible for providing leadership and operational day to day oversight for a team of coders responsible for coding to support benefit plan administration.
You will plan, direct, supervise, and help evaluate workflow and oversee work activities to achieve the service level goals, quality and productivity of your high functioning team.
You will accomplish this by:
· Recommending operational improvements both strategically and in the day-to-day application of organizational policies and procedures.
· Actively managing the performance of staff members according to established Key Performance standards
· Developing a culture of collaboration and accountability.
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 contribute to your success.
You will operate in a rapidly changing 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.
Key Responsibilities:
Assist with training and supervising staff including development, corrective discipline, Paid Time Off Approvals, and Performance Reviews in collaboration with the Senior Manager.
Supervise and develop a team dedicated to creating and maintaining clinical benefit setups for various clients.
Provide support to various clients as the Subject Matter Expert / individual contributor.
Actively manage the demand vs capacity model on a weekly/monthly basis.
Ensure the team has a structured method of updating/closing cases in Salesforce.
Analyze KPI reports on a bi-monthly basis and ensure all metrics are above/meeting expected goals on a continued basis.
Provide coaching, mentoring, development, guidance and timely resolution of issues within the Team Environment
Identify and implement departmental best practices and synergies
Assist leadership with business needs including queue management and productivity.
Develop documented processes and procedures as needed to create and maintain effective and productive workflows.
Pay Range
The typical pay range for this role is:
Minimum: 60,300
Maximum: 130,000
Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will take into account a wide range of factors, including location.
Required Qualifications
Overall 5 years’ experience in a PBM industry or ManagedCare setting with a focus on:
• 3 years of experience in business operations with focus on benefits coding, business analysis or requirements gathering
• 2 years of experience in direct or indirect leadership
Preferred Qualifications
• Operational knowledge of the Pharmacy Benefit Management and/or Health Insurance Industry
• Benefit Plan Design Experience
• Experience with third party prescription/medical payment and/or claims adjudication systems desired
• Effective verbal and written communication skills, to include relationship development
• Ability to effectively present information and respond to questions from groups of associates, managers and clients
• Knowledge of statistical reporting and ability to apply it to the operation of the department
• Excellent Analytical Skills to review, respond and take necessary decisions to improve efficiency of the team
• Working knowledge of word processing, spreadsheet, workflow management tools and familiarity with scheduling software applications
• Ability to recognize the needs of the staff, heighten morale, and decrease stress and burnout
• Demonstrate a deep understanding of company and client confidentiality
• Exemplary coaching/motivational skills at both an individual and team level
• Adaptable and able to move with change while maintaining a positive attitude and strong role model for the Team
• AS400 Knowledge
Education
Bachelor's degree is required; equivalent work experience may substitute.
Business Overview
Bring your heart to CVS Health Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law. 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.
As a Client Benefits Manager,
You will be responsible for providing leadership and operational day to day oversight for a team of coders responsible for coding to support benefit plan administration.
You will plan, direct, supervise, and help evaluate workflow and oversee work activities to achieve the service level goals, quality and productivity of your high functioning team.
You will accomplish this by:
· Recommending operational improvements both strategically and in the day-to-day application of organizational policies and procedures.
· Actively managing the performance of staff members according to established Key Performance standards
· Developing a culture of collaboration and accountability.
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 contribute to your success.
You will operate in a rapidly changing 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.
Key Responsibilities:
Assist with training and supervising staff including development, corrective discipline, Paid Time Off Approvals, and Performance Reviews in collaboration with the Senior Manager.
Supervise and develop a team dedicated to creating and maintaining clinical benefit setups for various clients.
Provide support to various clients as the Subject Matter Expert / individual contributor.
Actively manage the demand vs capacity model on a weekly/monthly basis.
Ensure the team has a structured method of updating/closing cases in Salesforce.
Analyze KPI reports on a bi-monthly basis and ensure all metrics are above/meeting expected goals on a continued basis.
Provide coaching, mentoring, development, guidance and timely resolution of issues within the Team Environment
Identify and implement departmental best practices and synergies
Assist leadership with business needs including queue management and productivity.
Develop documented processes and procedures as needed to create and maintain effective and productive workflows.
Pay Range
The typical pay range for this role is:
Minimum: 60,300
Maximum: 130,000
Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will take into account a wide range of factors, including location.
Required Qualifications
Overall 5 years’ experience in a PBM industry or ManagedCare setting with a focus on:
• 3 years of experience in business operations with focus on benefits coding, business analysis or requirements gathering
• 2 years of experience in direct or indirect leadership
Preferred Qualifications
• Operational knowledge of the Pharmacy Benefit Management and/or Health Insurance Industry
• Benefit Plan Design Experience
• Experience with third party prescription/medical payment and/or claims adjudication systems desired
• Effective verbal and written communication skills, to include relationship development
• Ability to effectively present information and respond to questions from groups of associates, managers and clients
• Knowledge of statistical reporting and ability to apply it to the operation of the department
• Excellent Analytical Skills to review, respond and take necessary decisions to improve efficiency of the team
• Working knowledge of word processing, spreadsheet, workflow management tools and familiarity with scheduling software applications
• Ability to recognize the needs of the staff, heighten morale, and decrease stress and burnout
• Demonstrate a deep understanding of company and client confidentiality
• Exemplary coaching/motivational skills at both an individual and team level
• Adaptable and able to move with change while maintaining a positive attitude and strong role model for the Team
• AS400 Knowledge
Education
Bachelor's degree is required; equivalent work experience may substitute.
Business Overview
Bring your heart to CVS Health Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law. 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.
District Sales Manager
MPAC Benefits -
Frisco, TX
Client Manager, Employee Benefits - Insurance Advisory Solutions
BRP Colleague Inc. -
Rockwall, TX
Remote Client Support Specialist
AO Globe Life - Service Member Benefits -
Richardson, TX