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 Eligibility Consultant is responsible to research and validate enrollment information, process enrollment & disenrollment transactions, make outbound calls to members to obtain required enrollment/disenrollment information, handle member inquires and participate in enrollment/disenrollment projects. The Eligibility Consultant will support training initiatives and work to resolve member inquires or concerns.
Required Qualifications
•Meet Monthly Quality & Production Metrics at a team level: Critical quality 98.5%
•Personal errors from the OMT, avoidable rejections, and found errors will be monitored by your supervisor. Consistent repetitive errors in these categories can lead to corrective action if no improvement is made.
•Participate in cross training on various products and platforms to ensure Enrollment metrics are met
•Meet Departmental attendance expectations of 5 occurrences or less
•Own development plan throughout the year and complete scheduled activities and/or trainings
•Follow established processes and workflows for each department task
•Complete required mandatory trainings by required timeframes
Preferred Qualifications
•1+ year Previous experience with CMS Medicare policies & systems including MaRx & CMS elections
•Effective organization skills and attention to detail.
•Maintain great working relationships with sound judgment and responsibility.
•Effective communications, organizational, and interpersonal skills.
•Demonstrated problem solving skills
Education
•High School or GED
Anticipated Weekly Hours
40Time Type
Full timePay Range
The typical pay range for this role is:
$17.00 - $28.46This 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.
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.
For more information, visit https://jobs.cvshealth.com/us/en/benefits
We anticipate the application window for this opening will close on: 05/14/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.