Benefits Analyst, Account Manager at CVS Health

Largo, Florida, United States

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Not SpecifiedCompensation

Mid-level (3 to 4 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, Public SectorIndustries

Requirements

Excellent communication skills
Knowledge of healthcare benefits
Passion for serving the community
Ability to travel regularly to client sites throughout Pinellas County
Strong sense of teamwork, ownership, and purpose
Ability to collaborate with colleagues across departments
In-depth knowledge of client-specific benefits, eligibility guidelines, pharmacy services, and CVS Health systems

Responsibilities

Handle member inquiries and escalations related to benefits, claims, eligibility, and policy interpretation by identifying root causes, coordinating with internal departments, and delivering timely, accurate solutions
Serve as the primary onsite liaison for designated public sector accounts, developing strong working relationships with plan sponsors, benefits teams, and key stakeholders
Provide real-time support to plan sponsors and members at various client worksites, ensuring a consistent and high-quality customer experience through visibility and responsiveness
Plan and lead open enrollment meetings, employee health fairs, wellness events, and other onsite or virtual engagements to educate and inform members about available benefits and services
Review and interpret data related to claims, utilization, and service issues; communicate insights and trends to clients to support transparency, understanding, and decision-making
Maintain in-depth knowledge of client-specific benefits, eligibility guidelines, pharmacy services, and CVS Health systems to serve as a subject matter expert and trusted advisor
Collaborate cross-functionally with internal teams (Eligibility, Claims, Clinical) to track and resolve complex or repeated issues and ensure timely follow-through
Ensure all interactions and activities align with HIPAA, company policies, and contractual obligations; maintain clear, accurate records of member and client interactions
Manage scheduling, site coverage, and communication independently, while prioritizing key stakeholder needs

Skills

Benefits Administration

Claims Resolution

Eligibility Verification

Policy Interpretation

Client Relationship Management

Stakeholder Engagement

Open Enrollment Support

Healthcare Benefits

Member Inquiries

Escalation Handling

CVS Health

Comprehensive pharmacy and healthcare services

About CVS Health

CVS Health operates a large network of retail pharmacies and walk-in medical clinics across the United States, providing a variety of health-related products and services. Their offerings include prescription medications, over-the-counter health products, and beauty items, as well as pharmacy benefits management and specialty pharmacy services. CVS Health's integrated business model allows them to serve individual consumers, businesses, and communities effectively, with a focus on improving health outcomes and reducing healthcare costs. Unlike many competitors, CVS Health combines pharmacy services with medical care, making it easier for patients to access quality healthcare. The company's goal is to enhance access to healthcare and support individuals in achieving better health.

Woonsocket, Rhode IslandHeadquarters

1963Year Founded

DEBTCompany Stage

Healthcare, Consumer GoodsIndustries

10,001+Employees

Benefits

Health Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

401(k) Retirement Plan

Company Equity

Wellness Program

Professional Development Budget

Paid Vacation

Paid Holidays

Risks

Legal challenges related to opioid prescriptions could harm CVS's reputation and finances.

The DOJ's intervention in a whistleblower lawsuit may increase legal costs for CVS.

The Horizon Organic Milk recall exposes potential vulnerabilities in CVS's supply chain.

Differentiation

CVS Health operates over 9,600 retail pharmacies and 1,100 walk-in clinics nationwide.

The company integrates pharmacy benefits management with specialty pharmacy services for comprehensive care.

CVS Health offers tailored medication plans through personalized medicine and pharmacogenomics.

Upsides

Expansion of telehealth services allows CVS to reach more patients remotely.

Increased consumer interest in wellness boosts demand for CVS's health-related products.

The trend towards value-based care aligns with CVS's integrated healthcare approach.

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