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Job Details

CVS Health

Representative I Benefits Setup (1904611BR)





California, United States

Job Description
CVS Health has an opportunity for a Benefits Setup Representative I. As a Benefits Setup Representative I, you will be responsible for analyzing client benefit requests, determining best operational approach and performing coding, testing or quality reviews.

You will validate coding accuracy utilizing various tools to ensure that there is no financial impact or client/participant dissatisfaction, while meeting or exceeding turnaround timelines.

Required Qualifications
6+months of experience performing Data Entry in the Healthcare industry

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
- Experience understanding of RxClaim platform/system applications/products
- Experience with Microsoft Excel
- Experience in analyzing and executing clinical and non-clinical client work requests
- Experience in the healthcare industry

Verifiable High School Diploma or GED required

Business Overview
At CVS Health, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.

We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, sex/gender, sexual orientation, gender identity or expression, age, disability or protected veteran status or on any other basis or characteristic prohibited by applicable federal, state, or local law. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.