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Job: Manager - Benefits Verification

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Jobing Description

Job Title :
Manager - Benefits Verification
Job ID :
Location :
IL - Buffalo Grove
Street Address :
2100 E. Lake Cook Rd.
Category :
Description :
Job Description
The Benefits Verification Manager is to be responsible for process improvement, and organizing, directing, and controlling the activities of the Benefits Verification department to ensure patient benefits are verified in accordance to the company guidelines and that patient expectations are met to achieve exceptional customer service and business profitability.

You will need to have superb management and business process skills to direct the management team with respect to medical insurance requirements, customer service and pharmacy operations. You will be accountable for service performance, customer satisfaction and financial performance and must have a proven track record of successful outcomes with responding to inquiries or complaints from customers, healthcare providers, and/or members.

The Manager will provides effective leadership and direction to all direct reports while managing and fostering a dynamic and progressive work environment characterized by high integrity, productivity, quality and a commitment to excellence and respect. He/She will coordinate staffing needs for the department in collaboration with recruiting and human resources.

Other responsibilities include:

* Assisting with implementation of new pharmacy programs

* Facilitating communication for problem resolution and changes occurring in the organization, within Specialty Pharmacy or with other departments that may impact the Benefits Verification department.

* Communicating with managers and directors of other departments to discuss cross-departmental issues and identify potential solutions.

Required Qualifications
* Five years of healthcare or related experience.
* Five years operational leadership experience managing multiple teams.

* Proficient experience in Excel

* Knowledge of Pharmacy Regulations.
* Experience in prescription and major medical benefits related to pharmacy products.
* Experience in a high intensity healthcare organization.
* Attention to customer focus to ensure patients are responded to with accurate and timely information.

Preferred Qualifications
Specialty pharmacy or mail service pharmacy experience.

Bachelors Degree or equivalent experience

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 EEO AA CVS Health

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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