PBM Client Experience Manager

Posted 18 Days Ago
Be an Early Applicant
48 Locations
47K-122K Annually
Senior level
Fitness • Healthtech • Retail • Pharmaceutical
The Role
Manage PBM client satisfaction and retention through support in service operations, including client support, member support, and facilitating meetings.
Summary Generated by Built In

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
A growing organization seeking qualified PBM experts with experience in account management, customer service, insurance, retail pharmacy. Your role will be related to service operations that contribute to the satisfaction and retention of PBM clients.
What you will do

  • Client Support

    Plan changes

    ID Card Facilitation

    Reporting (scheduled, ad-hoc)

    Inbound Phone Calls

    Invoices

    Group Terminations

    Documentation Requests

    Implementation Presence

    Facilitation/Participation in external-facing meetings

  • Member Support

    Overrides

    Prior Authorization/Accessibility

    Inbound Phone Calls

    Resolution of Claims Issues

    Manual Eligibility Adds/Terminations

    Service Warranties

Required Requirements

  • 5+ years Pharmacy related work experience.
  • Basic awareness of problem solving and decision making skills.
  • Willingness to travel up to 10%.

Preferred Qualifications

  • CPhT.
  • Bachelor's degree preferred.

Education

  • High School Diploma/GED.

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$46,988.00 - $122,400.00

This 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. 
 

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: 04/24/2025

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

Top Skills

Account Management
Customer Service
Decision Making
Insurance
Pharmacy
Problem Solving
Retail Pharmacy
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The Company
HQ: Woonsocket, RI
119,959 Employees
On-site Workplace
Year Founded: 1963

What We Do

CVS Health is the leading health solutions company that delivers care in ways no one else can. We reach people in more ways and improve the health of communities across America through our local presence, digital channels and our nearly 300,000 dedicated colleagues – including more than 40,000 physicians, pharmacists, nurses and nurse practitioners.

Wherever and whenever people need us, we help them with their health – whether that’s managing chronic diseases, staying compliant with their medications, or accessing affordable health and wellness services in the most convenient ways. We help people navigate the health care system – and their personal health care – by improving access, lowering costs and being a trusted partner for every meaningful moment of health. And we do it all with heart, each and every day.

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