Senior Enrollment Consultant

CVS Health   •  

Irving, TX

Industry: Biotech/Pharma


Less than 5 years

Posted 389 days ago

This job is no longer available.

Position Summary:
As a Senior Enrollment Consultant, you will support our growing and complex EGWP/SPAP operations implementation/projects from initiation through post implementation. You will drive timely identification, root cause analysis and resolution of issues. You will independently solve problems and drive creative solutions for our business. You should have a vast understanding and working knowledge of Medicare Guidelines and the enrollment process that directly impacts member enrollment.

You will accomplish this by:

Lead business implementations/projects (including but not limited to) – 70%

  • Translating requirements into compliant operational processes (i.e. EDI file mapping, special reports, project requirements, etc.)
  • Facilitating internal and external meetings, processing reviews and training, presenting valuable, complex content that is easily understood by others Initiating proactive solutions of potential risks, driving quick remediation to prevent issues
  • Supporting business testing and deployment validation
  • Managing and tracking project outcomes using Microsoft Project, SFDC and/or SharePoint tools
  • Creating and/or updating client documentation, training curriculum and/or P&Ps

Enrollment monitoring / status reporting – 30%

  • Implementing dashboards to track enrollment outcomes across multiple systems and processes
  • Analyzing reports and data to identify trends and prepare recommendations to address potential risks
  • Performing routine enrollment file processing, member research and SFDC cases

Low travel (up to 10%) may be required depending on location/project

Required Qualifications:

  • 4+ years of professional business experience
  • 3+ years of related high level analytical experience
  • 2+ years of Business to Business client relations experience
  • 2+ year of Implementations with various sized clients and projects
  • 2+ years Intermediate level experience using MS Office Suite (Excel, Visio, PowerPoint, Word, etc.)

Preferred Qualifications:

  • SalesForce (SFDC)
  • SharePoint
  • 1+ years’ experience in Healthcare, PBM, and/or insurance
  • 1+ year of experience with Microsoft Project
  • Ability to be self-directed to independently identify and define business problems and issues, and recommend solutions

Bachelor's Degree or equivalent work experience required

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.

Job ID: 715950BR