Client Support - Representative I

Client Support Representative

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 : The Client Support Representative for Aetna Commercial Client Support will focus on delivering exceptional service on escalated pharmacy concerns. You will be accountable for researching and resolving member escalations including Prior Authorization status, Specialty / Mail Order prescription concerns, as well as general requests to assist a member with their Pharmacy Healthcare experience. You will assist our members with navigating their Healthcare with an emphasis on ensuring exceptional client service and timely resolution of issues within the team environment. You will also manage outstanding concerns to ensure accurate resolution and communication is completed on every concern assigned. You are expected to professionally manage a high volume of correspondence to include but not limited to phone calls, emails, and SalesForce cases from clients and internal partners to ensure that issues are resolved both promptly and accurately. Correspondence should be professional, thorough and deliver a clear message. Your success will be driven by exceeding quality and turnaround time expectations. Your skills as an excellent client liaison and complex problem solver will also contribute to your success. You will operate in a fast-paced 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 Pharmacy Benefit Management marketplace.

Candidate must be in Pacific or Mountain Time Zone. Occasional need for scheduled overtime, weekend and holidays as determined by business need (Ex : "Welcome Season").

Required Qualifications : 1+ years of health insurance industry experience.

Preferred Qualifications : RxClaim (AS400), Salesforce, Five9, and Peoplesafe / Compass. Education : Bachelor's Degree is desired or equivalent work experience.

Anticipated Weekly Hours : 40. Time Type : Full time. Pay Range : $17.00 - $28.46.

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.

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