PBM Client Experience Manager

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Position Summary
A growing organization seeking qualified PBM experts with experience in account management, customer service, insurance, retail pharmacy. Your role will be related to service operations that contribute to the satisfaction and retention of PBM clients.
What you will do

• Client Support

  Plan changes

  ID Card Facilitation

  Reporting (scheduled, ad-hoc)

  Inbound Phone Calls

  Invoices

  Group Terminations

  Documentation Requests

  Implementation Presence

  Facilitation/Participation in external-facing meetings

• Member Support

  Overrides

  Prior Authorization/Accessibility

  Inbound Phone Calls

  Resolution of Claims Issues

  Manual Eligibility Adds/Terminations

  Service Warranties

Required Requirements

• 5+ years Pharmacy related work experience.
• Basic awareness of problem solving and decision making skills.
• Willingness to travel up to 10%.

Preferred Qualifications

• CPhT.
• Bachelor's degree preferred.

Education

• High School Diploma/GED.

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$46,988.00 - $122,400.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.  The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.  This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. 
 

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.

• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.

• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

For more information, visit https://jobs.cvshealth.com/us/en/benefits

We anticipate the application window for this opening will close on: 04/24/2025

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.