#R0478858
for members.
Support and consult with team by utilizing Aetna policy guidelines in accordance with key performance measures to ensure accuracy and customer satisfaction.
Supervises, mentors and directs a team responsible for plan administrative functions or functional support areas.
Develops, trains, evaluates, and coaches staff to provide cost effective decisions within Plan Sponsor Services or Implementation Services while ensuring operating standards are met; continually assesses individual and team performance against key business objectives and provides candid and timely developmental feedback
Ensures policy and procedures associated with post implementation and on-going benefit administration services satisfy regulatory compliance requirements.
Coordinates research efforts and resolution for revenue adjustment issues; ensures modifications are reported accordingly.
Coordinates the collection and cancellation process for delinquent accounts in accordance with pre-established business procedures.
Evaluates customer billing requirements, payment arrangements and service history in order to deliver a timely and technically sound product; ensures remittances are posted accurately across various benefit designations and corresponding account structures.
Monitors and reports on the level of overall customer satisfaction against quality assurance, audit, and performance management initiatives; works to promote continuous process improvement relative to achieved results.
Acts as a liaison between staff and other areas, including management, plan sponsors, marketing, etc., communicating workflow results, ideas and solutions.
May direct the installation of new accounts and /or ongoing maintenance in support of department objectives.
Establishes a clear vision aligned with company values; motivates others to balance customer needs and business success.
Takes personal accountability for results.
Required Qualifications
2 years of prior experience in the Healthcare field, leading and managing a team of employees.
2 years of experience providing mentorship and guidance to a team.
2 years of experience developing and/or improving training documents.
Preferred Qualifications
Medicare experience
Arizona residency
Strong verbal and written communication skills
Analytical skills
Negotiation skills
Education
Pay Range
The typical pay range for this role is:$43,888.00 - $76,500.00This 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 HealthWe anticipate the application window for this opening will close on: 01/30/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.