# Plan Benefit Review Specialist

**Company**: CVS Health
**Location**: Work At Home-Delaware
**Experience**: mid
**Job type**: full-time
**Salary**: $46,988.00 - $122,400.00
**Category**: Healthcare
**Industry**: Healthcare

**Apply**: https://cvshealth.wd1.myworkdayjobs.com/en-US/CVS_Health_Careers/job/Work-At-Home-Delaware/Renewal-and-Reporting-Analyst_R1071607-1?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply
**Canonical**: https://yubhub.co/job/plan-benefit-review-specialist-b8539eae-ae5/

## 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, hold themselves accountable and prioritize safety and quality in everything they do.

**Position Summary**

- Provides plan benefit review, interpretation, and systematic setup, essential for online viewing and processing, related to customer service, claims, enrollment, billing, and reporting, in support of internal and external partners.

- Utilizes Meritain's proprietary system for analytical coding of detailed customized plans.

- Develops and executes implementation strategy consistent with client expectations; ensures strategy is administered in accordance with all performance guarantee arrangements.

- Consults and advises internal stakeholders on complex benefit administration.

- Uses business knowledge and experience to make plan design and processing recommendations when working with clients.

- Reviews benefit provisions to ensure compliance with state and federal mandates.

- Collaborates on review, analysis, and development of recommendations for the design of complex account and benefit structures.

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

- Solicits and assesses internal and external customer feedback to drive continuous quality improvement.

- Demonstrates Salesforce proficiency and understanding for cross-functional communication and enables executive-level status reporting.

**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 the ability to work beyond those 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 quickly prioritize multiple assignments with high quality results.

- High attention to detail and accuracy.

**Benefits**

- Medical, dental, and vision coverage.

- Paid time off.

- Retirement savings options.

- Wellness programs.

**Anticipated Weekly Hours**

- 40

**Time Type**

- Full time

**Pay Range**

- $46,988.00 - $122,400.00

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## Skills

### Required
- medical terminology
- benefit administration
- plan design
- Salforce

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

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Source: [Apply at cvshealth.wd1.myworkdayjobs.com](https://cvshealth.wd1.myworkdayjobs.com/en-US/CVS_Health_Careers/job/Work-At-Home-Delaware/Renewal-and-Reporting-Analyst_R1071607-1?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply)