Pharmacy Benefit Manager Invoice Processor Meritain Health
Pharmacy Benefit Manager Invoice Processor Meritain Health
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Job Description
At CVS Health were building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.
As the nations leading health solutions company we reach millions of Americans through our local presence digital channels and more than 300000 purposedriven colleagues caring for people where when and how they choose in a way that is uniquely more connected more convenient and more compassionate. And we do it all with heart each and every day.
Position Summary
This role is for the Meritain Health PBM Pharmacy Benefit Manager Operations Team and is responsible for processing PBM vendor invoices and claims. The PBM Invoice Processor is assigned a set of groups to maintain their invoices on a weekly biweekly or monthly basis.
Job Duties include (but are not limited to):
- Imports and monitors PBM claim data and invoice files.
- Reconciles and balances claims data and invoices in the claims processing system.
- Coordinates client billing and invoice payments.
- Communicate invoice processing errors/delays to client management.
- Communicate missing files for assigned book of business to file management.
- Maintain invoice tracker by keeping assigned book of business up to date.
- Manage special accommodation products as required. (i.e. international sourced complex PBM vendors and highprofile clients).
- Reconcile aging reports and stop loss inquiries.
- Meet key performance metrics including production quality and turnaround time.
Required Qualifications
- 2 years of experiencewith health care data entry and/or claims processing.
- 13 years of customer service experience.
Preferred Qualifications
- Ability to independently handle multiple assignments competently accurately and efficiently.
- Strong attention to detail.
- Work effectively in a team environment.
- Ability to work overtime if necessary.
- Demonstrated proficiency in Microsoft Excel.
Education
High school diploma or GED.
Anticipated Weekly Hours
40Time Type
Full timePay Range
The typical pay range for this role is:
$17.00 $34.15This pay range represents the base hourly rate or base annual fulltime 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 shortterm 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 our comprehensive and competitive mix of pay and benefits investing in the physical emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages our great benefits include:
Affordable medical plan options a 401(k) plan (including matching company contributions) and an employee stock purchase plan.
Nocost programs for all colleagues including wellness screenings tobacco cessation and weight management programs confidential counseling and financial coaching.
Benefit solutions that address the different needs and preferences of our colleagues including paid time off flexible work schedules family leave dependent care resources colleague assistance programs tuition assistance retiree medical access and many other benefits depending on eligibility.
For more information visit anticipate the application window for this opening will close on: 05/12/2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal state and local laws.
Required Experience:
Manager
Employment Type
Full-Time
