Sr Manager, Client Benefits

Job Description

Any additional information you require for this job can be found in the below text Make sure to read thoroughly, then apply.

Supports the business by recommending appropriate actions, strategies, and / or alternatives to meet business needs. Has responsibility for leading all aspects of Aetna pharmacy benefit implementation requirement processes and benefit set up issue resolution.

Leads a diverse team of colleagues to develop, execute and manage unique implementation strategies to support PERS Seeding, default plan review, and PERS quality. Has responsibility for ensuring the timeliness of plan set up and resolution of all benefit set up issues. Manages relationships across segments and multifunctional areas.

Fundamental Components :

• Develops and implements strategic business plan to achieve business goals.
• Proactively leads by setting strategic direction.
• Identifies gaps and recommends enhancements related to new and / or existing products, services and workflows based on broad view of the organization.
• Collaborates and partners with other functional managers, other business areas across / within segments or other business areas to ensure all workflow processes and interdependencies are identified and addressed.
• Influences change in order to improve performance results, organization effectiveness and / or systems / quality / services.
• Responsible for development and implementation of new ideas that supports work / team.
• Provides oversight of team responsibilities to ensure timelines and expectations are met.
• Management of staff accountabilities :
• Manages all work related to plan set up turnaround time and resolving pharmacy benefit plan set up issues, including efficient resolution of command center issues during open enrollment periods.
• Oversees automated process and associated tasks which ensure RxIDs are correctly coded in PE / RS.
• Accountable for ensuring timely implementation of benefit plans to minimize use of default plan.
• Leads team responsible for the ensuring the overall quality of the pharmacy benefit coding setup in PERS / CCI for the middle market segment.
• Ensures that all team members are adequately trained and manages workload expectations to ensure staffing assignments are distributed to be successful.

Pay Range

The typical pay range for this role is :

Minimum : 75,400

Maximum : 158,300

Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will take into account a wide range of factors, including location.

Required Qualifications

COVID Requirements

COVID-19 Vaccination Requirement

CVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated.

You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.

Preferred Qualifications

Education

Bachelors degree or equivalent experience.

Business Overview

Bring your heart to CVS Health

Every one of us at CVS Health shares a single, clear purpose : Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver.

Our Heart At Work Behaviors support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.

We strive to promote and sustain a culture of diversity, inclusion and belonging every day.

CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex / gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.

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