Pharmacy Benefit Management (PBM) Client Experience Manager

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Position Summary
 

The Pharmacy Benefit Management Client Experience Manager examines sales, account management, and business retention metrics for products and services, in order to support profitable growth and other business objectives. This person controls strategic business plans for accounts and customer relationships, focusing on revenue growth, member retention, and achievement of financial objectives.
What you will do:

Client Support

• Perform and support plan changes.
• Perform ID card facilitation.
• Complete any necessary reporting (scheduled, ad-hoc).
• Conduct inbound phone calls.
• Complete any assigned invoices.
• Perform any assigned group terminations.
• Complete documentation requests.
• Serve as a presence throughout the implementation process.
• Facilitate and participate in external-facing meetings.

Member Support

• Perform overrides as needed.
• Oversee prior authorization and accessibility processes.
• Conduct inbound phone calls.
• Oversee resolution of claims issues.
• Perform manual eligibility adds and terminations.
• Service warranties as assigned.

Required Qualifications

• 5+ years of experience in a pharmacy, PBM, or insurance setting.
• Travel up to 25% of time within the continental United States.

Preferred Qualifications

• Certified Pharmacy Technician.
• Basic awareness of problem solving and decision-making skills.
• Previous experience with Salesforce.
• Bachelor’s degree.

Education

• High school diploma or GED.

Anticipated Weekly Hours

Time Type

Pay Range

The typical pay range for this role is:

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 offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

Additional details about available benefits are provided during the application process and on Benefits Moments.

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