Job Description Are you a client-centricleader who is able to handle multiple priorities and who enjoys the challengeof being a client’s primary contact to a CVSH department? If so, the newlycreated position of Encounter Relationship Manager may be what you are lookingfor. You will be the liaison between a given client and Encounter and ClientData Operations Department (ECD), Medicaid Encounters. You are responsible formonitoring and leading the overall health of the Encounter Program. A solidunderstanding of the Encounter process is required to understand therequirements and feasibility of client requests to effectively direct thoserequests to the appropriate area.
While you are not expected tobe a Subject Matter Expert, a deep understanding will be required in order toeffectively partner with Encounter Reconciliation Managers and Analysts tocomplete client requests and work together to improve the overall program.
Additional responsibilitiesfor the Encounter Relationship Manager include, but are not limited to, thefollowing:
You will provide a channel for clear and honestcommunication
You will serve as point of escalation for both Client andReconciliation Teams for reject correction issues
You will obtain status of documented routine and periodicencounter issues and items
You will monitor and manage the progress of clientdeliverables; track timelines and assignments
You will manage client experience by setting realistic,achievable expectations
You will run Encounter client calls & attend AM OPScalls: facilitate the agenda/specifics; track open issues and takeaways;document decisions and approval of those decisions, engage appropriate partiesfrom Account Team and Technical Team as needed. For ECD owned calls, run WebEx,coordinate with presenters for agenda items, ensure calls stay on track anddefuse escalations as needed.
You will track and monitor open issues utilizingan Event Tracker.
You will monitor KPI and dashboards to assess progress ofEncounter Reject Correction
- 4+ years of professional work experience, preferably in a client facing role
EducationBachelor's degree, or high school diploma and equivalent work experience plus one additional year of experience is required for each year of college not attained.
- Great communication skills, as the position will involve communicating with clients.
- Previous Medicaid Encounter experience and/or PBM experience
- Must have strong problem solving skills with the ability to work independently
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.
CVS Health is an equal opportunity employer. We do not discriminate in hiring or employment against any individual on the basis of race, ethnicity, ancestry, color, religion, sex/gender (including pregnancy), national origin, sexual orientation, gender identity or expression, physical or mental disability, medical condition, age, veteran status, military status, marital status, genetic information, citizenship status, unemployment status, political affiliation, or on any other basis or characteristic prohibited by applicable federal, state or local law. CVS Health will consider qualified job candidates with criminal histories in a manner consistent with federal, state and local laws. CVS Health will not discharge or in any other manner discriminate against any Colleague or applicant for employment because such Colleague or applicant has inquired about, discussed, or disclosed the compensation of the Colleague or applicant or another Colleague or applicant. Furthermore, we comply with the laws and regulations set forth in the following EEO is the Law Poster: EEO IS THE LAW
and EEO IS THE LAW SUPPLEMENT
Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. If you require assistance to apply for this job, please contact us by clicking EEO AA CVS Health
CVS Health does not require nor expect that applicants disclose their compensation history during the application, interview, and hiring process.
For inquiries related to the application process or technical issues please contact the Kenexa Helpdesk at 1-855-338-5609. For technical issues with the Virtual Job Tryout assessment, contact the Shaker Help Desk at 1-877-987-5352. Please note that we only accept resumes via our corporate website: https://jobs.cvshealth.com/