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Job Description
The Associate Account Representative for Aetna IBU Commercial Account Management will focus on delivering exceptional service on escalated pharmacy concerns. You will be accountable for researching and resolving member escalations including Prior Authorization status, Specialty/Mail Order prescription concerns, as well as general requests to assist a member with their Pharmacy Healthcare experience. You will assist our members with navigating their Healthcare with an emphasis on ensuring exceptional client service and timely resolution of issues within the team environment. You will also manage outstanding concerns to ensure accurate resolution and communication is completed on every concern assigned.
In addition as an Associate Account Representative you will also be responsible for assisting the Pharmacy Account Manager as needed for the Consumer Individual Health Plan line of business.
In order to be successful in this role you will research and resolve concerns end to end, manage Queue of work assigned including prioritization of urgent member access to care concerns as well as communicate accurate updates frequently throughout resolution
Your success will be driven by exceeding quality and turn around time expectations. Your skills as an excellent client liaison and complex problem solver will also contribute to your success. You will operate in a fast-paced environment with tight deadlines so ability to operate autonomously and make key decisions is imperative. The contributions you will make will position CVS Health as a leader in client satisfaction and service in the Pharmacy Benefit Management marketplace.
We offer a comprehensive benefits package which includes medical, dental, vision insurance as well as a wide-ranging list of supplemental benefits and discount programs. In addition to sixteen paid days off for employees, we also offer ten paid holidays.
Required Qualifications
2+ years of health insurance industry experience.
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
Rxclaim, Salesforce, Peoplesafe experience preferred.
Education
Bachelor’s Degree is desired or equivalent work 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.
