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Job Title :
Client Benefits Director
Job ID :
Location :
IL - Northbrook
Street Address :
2211 Sanders Road
Category :
Account Management|Management
Description :
Job Description
As the Client Benefits Director you will be accountable for Benefits requirements and configuration for a subset of clients within the commercial line of business for the Heath Plan Market Segment. You will focus on driving key projects that will improve our ability to deliver high quality benefit plans in a timely manner to the marketplace. This includes the strategy, managing timelines and key deliverables as well as the quality control process necessary to ensure benefits are set up accurately and reviewed with our clients. You will also be responsible for:

- Providing planning support for a range of operational and strategic initiatives including accountability for the operational excellence in the Client Benefits leadership meetings related to Benefits and requirement coding operations
- Partnering closely with the Executive Leadership Team in strategic decision making and operations as the organization seeks to build capacity, automation and innovation capabilities
- Leading and directing department vision, mission, values and goals Initiating, developing and implementing process improvement plans to enhance organizational efficiency and continuous improvement
- Coordinating activities with other partner lines such as IT, Sales, Account Management, HR, Eligibility, Clinical Operations, CoE, Finance, Legal

You will be responsible for the critical communication to both client and internal leadership and on the status and overall quality of benefit design and configuration. Proactive planning, effective communication, coordination and project management of select organizational initiatives, leadership team agenda development, action plan tracking and follow-up, and coordinating benefit automation projects in support of the business unit will be critical to your success. Finally, you will be responsible for ensuring organizational processes are optimally aligned and coordinated between and among groups and projects.

Required Qualifications
* At least 10 years of experience managing operations and/or service delivery
* 3 or more years of experience directly managing complex Benefits implementation for Clients
* Willingness and ability to travel 25%-40% is required

Preferred Qualifications
* Extensive RxClaim system knowledge
* Ability to work effectively across several functional business areas
* Excellent Medicare/Medicaid/Commercial/Exchange related benefits implementation and management experience
* Ability to define benefits coding strategies Experience developing, measuring, monitoring, and driving improvement in New Client Implementations Key Performance Indicators
* Solid understanding and experience with healthcare prior authorization, Formulary, Utilization Management, Drug Utilization Management, Accumulations & Copay setup, reimbursement and claims adjudication
* Ability to coach, manage, mentor, develop and guide employee performance

* Bachelor’s degree is required; equivalent work experience may substitute
* Master’s Degree is preferred

Business Overview
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:

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Our culture

CVS Health core values of Innovation, Collaboration, Caring, Integrity, and Accountability not only support our purpose of helping people on their path to better health for our customers and patients, but they also apply to how we support our more than 250,000 colleagues. You will find our culture at CVS Health, and our leaders encourage personal and professional growth.

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