# Plan Benefit Review Specialist

**Company**: CVS Health
**Location**: Work from home, MN
**Work arrangement**: remote
**Experience**: mid
**Job type**: full-time
**Salary**: $46,988.00 - $102,000.00
**Category**: Healthcare
**Industry**: Healthcare

**Apply**: https://cvshealth.wd1.myworkdayjobs.com/en-US/CVS_Health_Careers/job/MN---Work-from-home/Renewal-and-Reporting-Analyst_R1070330-1?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply
**Canonical**: https://yubhub.co/job/plan-benefit-review-specialist-864e0073-dc7/

## Description

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 colleagues who care deeply, innovate with purpose, and prioritize safety and quality in everything we do.

**Position Summary**

The Plan Benefit Review Specialist provides plan benefit review, interpretation, and systematic setup for online viewing and processing, supporting internal and external partners. Key responsibilities include:

- Utilizing Meritain's proprietary system for analytical coding of customized plans

- Developing and executing implementation strategies consistent with client expectations

- Consulting and advising internal stakeholders on complex benefit administration

- Using business knowledge and experience to make plan design and processing recommendations

- Reviewing benefit provisions to ensure compliance with state and federal mandates

- Collaborating on review, analysis, and development of recommendations for complex account and benefit structures

- Executing system setup and mapping of client-level benefits to align with industry coding

- Soliciting and assessing internal and external customer feedback to drive continuous quality improvement

**Required Qualifications**

- 2+ years of experience working with healthcare, specifically with quality, renewals, client advocacy, and/or account management

- Ability to work Monday-Friday from 8am-5pm, with flexibility to work beyond core hours during busy seasons

**Preferred Qualifications**

- 5+ years of experience working with healthcare, specifically with quality, renewals, client advocacy, and/or account management

- Previous experience with Salesforce

- Previous experience with various data systems, including DOS systems

- Strong analytical and problem-solving skills

- Excellent organization skills and ability to prioritize multiple assignments with high-quality results

**Benefits**

This full-time position is eligible for a comprehensive benefits package, including medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources.

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## Skills

### Required
- medical terminology
- benefit administration
- analytical coding

### Nice to have
- Salesforce
- data systems
- analytical skills
- problem-solving skills

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Source: [Apply at cvshealth.wd1.myworkdayjobs.com](https://cvshealth.wd1.myworkdayjobs.com/en-US/CVS_Health_Careers/job/MN---Work-from-home/Renewal-and-Reporting-Analyst_R1070330-1?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply)