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Fully Remote Position, This is not a standard 9-5 position.
Willingness and Ability to Travel up to 30% for client support if needed
As a Benefit Relationship Manager (BRM), you will captain the strategic documentation and deployment of our clients’ prescription benefit plan designs. The BRM position affords you the opportunity to gain valuable leadership experience through managing project teams. You will be seen as a client problem-solver and will bring innovative solutions to high-profile clients.
Primary duties and responsibilities:
• Defining and Documenting Requirements with Clients, Implementation and Account Managers
• Consulting with clients on proposed solutions to meet objectives & goals including financial & member experience
• Research, analyzing impacts for consideration of requirements or errors and providing direction on adjudication setups & solution to Configuration & Quality for mitigation
• Cross functional project support to improve benefits requirements process
• Mentorship of colleagues with Benefit & Clinical Ops
You will accomplish this by:
• Building relationships with key client partners through a consultative approach to understand client benefit plan design needs
• Translating client needs and requirements to internal CVS Health teams such as Benefits Coding and Quality Analysis
• Facilitating internal and external meetings and presentations to provide status updates and make decisions relative to client benefit setup
Your success will be driven by exceeding client satisfaction score targets as well as working towards reduced service warranty payments to clients. Your healthcare industry knowledge in the areas of Formulary Management, Drug Utilization Management, and Reimbursement and Claims Adjudication will also contribute to your success. In this role, you will operate in a fast-paced environment with tight deadlines so your ability to operate autonomously and make key decisions is imperative. The contributions you will make as a BRM will position CVS Health as a leader in client satisfaction and service in the Pharmacy Benefit Management marketplace.
**This is a work from home role. Candidates can live anywhere in the United States.
Pay Range
The typical pay range for this role is:
Minimum: 60,300
Maximum: 130,000
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.
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company's 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (PTO) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.
For more detailed information on available benefits, please visit
Required Qualifications
Required Qualifications:
• 5 or more years of experience in benefit plan design/coding/testing/account management, or related field
• RxClaims/ AS400 experience
• PBM industry experience
Preferred Qualifications
Preferred Qualifications:
• Experience with Benefit Builder and FMS
• Salesforce experience
• Proven benefits coding operations experience
Education:
• Bachelor’s Degree is required, equivalent experience may be considered
Education
Education:
• Bachelor’s Degree is required, equivalent experience may be considered
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.
Fully Remote Position, This is not a standard 9-5 position.
Willingness and Ability to Travel up to 30% for client support if needed
As a Benefit Relationship Manager (BRM), you will captain the strategic documentation and deployment of our clients’ prescription benefit plan designs. The BRM position affords you the opportunity to gain valuable leadership experience through managing project teams. You will be seen as a client problem-solver and will bring innovative solutions to high-profile clients.
Primary duties and responsibilities:
• Defining and Documenting Requirements with Clients, Implementation and Account Managers
• Consulting with clients on proposed solutions to meet objectives & goals including financial & member experience
• Research, analyzing impacts for consideration of requirements or errors and providing direction on adjudication setups & solution to Configuration & Quality for mitigation
• Cross functional project support to improve benefits requirements process
• Mentorship of colleagues with Benefit & Clinical Ops
You will accomplish this by:
• Building relationships with key client partners through a consultative approach to understand client benefit plan design needs
• Translating client needs and requirements to internal CVS Health teams such as Benefits Coding and Quality Analysis
• Facilitating internal and external meetings and presentations to provide status updates and make decisions relative to client benefit setup
Your success will be driven by exceeding client satisfaction score targets as well as working towards reduced service warranty payments to clients. Your healthcare industry knowledge in the areas of Formulary Management, Drug Utilization Management, and Reimbursement and Claims Adjudication will also contribute to your success. In this role, you will operate in a fast-paced environment with tight deadlines so your ability to operate autonomously and make key decisions is imperative. The contributions you will make as a BRM will position CVS Health as a leader in client satisfaction and service in the Pharmacy Benefit Management marketplace.
**This is a work from home role. Candidates can live anywhere in the United States.
Pay Range
The typical pay range for this role is:
Minimum: 60,300
Maximum: 130,000
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.
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company's 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (PTO) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.
For more detailed information on available benefits, please visit
jobs.CVSHealth.com/benefits
Required Qualifications
Required Qualifications:
• 5 or more years of experience in benefit plan design/coding/testing/account management, or related field
• RxClaims/ AS400 experience
• PBM industry experience
Preferred Qualifications
Preferred Qualifications:
• Experience with Benefit Builder and FMS
• Salesforce experience
• Proven benefits coding operations experience
Education:
• Bachelor’s Degree is required, equivalent experience may be considered
Education
Education:
• Bachelor’s Degree is required, equivalent experience may be considered
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.
