Client Advocate (Meritain Health)- Remote

Remote Full-time
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.

Position Summary

To support the service and administration of Aetna’s products to achieve profitable growth. This will be achieved through the development of strong relationships and execution of processes and workflows that effectively meet customer and Plan Sponsor needs.

What You Will Do
• Develops and executes customer product/plan administration.
• Meets with customers at least quarterly to discuss service levels and expectations, share process improvements, discuss operation of plans, identify gaps in service levels, determine root causes and develop solutions.
• Identifies customer specific service issues, identifies solutions and leads resolution of issues working with other areas to implement.
• Responds to customers’ requests for claim analysis, plan design changes, and benefit questions and clarifications.
• Collaborates with account management team to achieve growth/renewal objectives; assists in preparation and delivery of renewal packages.
• Supports all plan administration activities, including installation, plan set-up, eligibility, billing and drafting by working proactively with support areas.
• Manages open enrollment activities.
• Promotes Navigator usage and implements strategies to increase usage for products.
• Notifies customers of Aetna policy changes, determining impact to customer and providing consultative support.
• Supports scheduling of customer meetings and preparation for these meetings.

Required Qualifications
• 1- 3 years experience Health care customer service
• Excellent customer service mindset
• Strong critical thinking and analytical skills.
• Proficiency with Outlook, Microsoft office including Word, Excel and PowerPoint, Teams.
• Effective communication skills, both verbal and written
• Ability to learn quickly and work with minimal supervision
• Confident and comfortable presenting information in a group setting

Preferred Qualifications
• Data General (DG), Sales force experience
• Prior Health Insurance industry-related experience working with complex accounts.
• Self funded experience
• Prior Account management experience with in the Health insurance industry

Education
• Bachelor' Degree or equivalent work experience (HS diploma + 4 years relevant experience)

Pay Range

The Typical Pay Range For This Role Is

$43,888.00 - $85,068.00

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.

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 Benefits | CVS Health

We anticipate the application window for this opening will close on: 11/22/2024

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

Apply Now

Apply Now

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