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Senior Med D Enrollment Consultant

Expired Job

CVS Health Irving , TX 75061

Posted 4 months ago

Job Description:

As a Sr. Enrollment Consultant you will have the opportunity to develop and maintain strong client relationships with our Employer Group Waiver Plan (EGWP) and State Pharmaceutical Assistant Program (SPAP) clients. You will be assisting these clients with enrollment and eligibility needs for their Medicare Part D (Med D) members. You will be seen as a problem-solver and will bring innovated solutions for EGWP and SPAP MED D clients. As the Sr. Enrollment Consultant, you should have a vast understanding and working knowledge of Medicare Guidelines, EDI protocols, EDI file layouts, and the enrollment processes that directly impact member enrollment. The Sr. Enrollment consultant will contribute to assisting and managing special projects, implementations and/or automation efforts.

You will accomplish this by:

  • Leading business and/or enterprise projects

  • Translating client needs and requirements into operational formats for SSIC teams

  • Facilitate internal and external meetings and presentations to provide status updates and make decisions relative to client projects and implementations

  • Facilitate inter-departmental process reviews and training

  • Facilitate and document client meetings (Conference Calls and/or Onsite meetings)

  • Monitor enrollment processes across multiple systems/processes

  • Analyze reports and communicate results to clients

  • Reconcile enrollment issues

  • Develop client action plans

  • Organize file mapping efforts

  • Create and/or update client documentation and/or P&Ps

  • Attend off site client meetings (about 10 % travel)

As a Senior Enrollment Consultant, your success will be driven by exceeding client satisfaction. Using a consultative approach across specific PBM and other Operations as needed to define problems, lead process improvement efforts, and ultimately manage process change with business stakeholders to ensure our internal and external customer needs are being met. The ability to influence and deliver results for our clients will be a key factor to your success in this role.

Required Qualifications

  • 2+ years of Healthcare, PBM, or insurance experience
  • 1+ years of Business to Business client relations experience
  • 1+ years of current experience with MS Word, Excel, Outlook and MS Access
  • 1+ years of experience using Secure File Transfer Portal (SFTP), Electronic Data Interchange (EDI) formats and file transfer protocols

Preferred Qualifications

  • 1 + years of current experience with MS PowerPoint, MS Project and Visio

  • 1+ years working directly with State Pharmaceutical Assistance Program Clients

  • Analytical thinking, strong Interpersonal skills, and strong technical aptitude

  • Strategic, forward thinker, solution focus with sound technical and analytical abilities

  • Highest level of attention to detail and the ability to manage multiple projects simultaneously, adjusting priorities as needed and meeting deadlines

  • Effective presentation skills over the phone and in person.

  • Demonstrated strong written and verbal communication skills

  • Strong problem solving skills demonstrated

  • Proven ability to interpret and present complex concepts that are easily understood by others


  • High School Diploma or GED Required

  • Bachelor Degree Strongly preferred

Business Overview

CVS Health, through our unmatched breadth of service offerings, is transforming the delivery of health care services in the U.S. We are an innovative, fast-growing company guided by values that focus on teamwork, integrity and respect for our colleagues and customers. What are we looking for in our colleagues? We seek fresh ideas, new perspectives, a diversity of experiences, and a dedication to service that will help us better meet the needs of the many people and businesses that rely on us each day. As the nation's largest pharmacy health care provider, we offer a wide range of exciting and fulfilling career opportunities across our three business units MinuteClinic, pharmacy benefit management (PBM) and retail pharmacy. Our energetic and service-oriented colleagues work hard every day to make a positive difference in the lives of our customers.

CVS Health is an equal opportunity employer. We do not discriminate in hiring or employment against any individual on the basis of race, ethnicity, ancestry, color, religion, sex/gender (including pregnancy), national origin, sexual orientation, gender identity or expression, physical or mental disability, medical condition, age, veteran status, military status, marital status, genetic information, citizenship status, unemployment status, political affiliation, or on any other basis or characteristic prohibited by applicable federal, state or local law. CVS Health will consider qualified job candidates with criminal histories in a manner consistent with federal, state and local laws. CVS Health will not discharge or in any other manner discriminate against any Colleague or applicant for employment because such Colleague or applicant has inquired about, discussed, or disclosed the compensation of the Colleague or applicant or another Colleague or applicant. Furthermore, we comply with the laws and regulations set forth in the following EEO is the Law Poster: EEO IS THE LAW and EEO IS THE LAW SUPPLEMENT

Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. If you require assistance to apply for this job, please contact us by clicking Advice and Counsel

CVS Health does not require nor expect that applicants disclose their compensation history during the application, interview, and hiring process.

For inquiries related to the application process or technical issues please contact the Kenexa Helpdesk at 1-855-338-5609. For technical issues with the Virtual Job Tryout assessment, contact the Shaker Help Desk at 1-877-987-5352. Please note that we only accept resumes via our corporate website:

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Senior Med D Enrollment Consultant

Expired Job

CVS Health