Senior Eligibility Consultant
CVS HealthMinnesota, United States
Posted April 6, 2026
Full Time
About the Company
CVS Health is the leading health solutions company, delivering care like no one else can. We reach more people and improve the health of communities across America through our local presence, digital channels and over 300,000 dedicated colleagues – including more than 40,000 physicians, pharmacists, nurses and nurse practitioners. Wherever and whenever people need us, we help them with their health – whether that’s managing chronic diseases, staying compliant with their medications or accessing affordable health and wellness services in the most convenient ways. We help people navigate the health care system – and their personal health care – by improving access, lowering costs and being a trusted partner for every meaningful moment of health. And we do it all with heart, each and every day. Follow @CVSHealth on social media.
Job 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 passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do.
Requirements
- Process accurate and timely policy and eligibility data utilizing administration systems for claim payment purposes and product production ensuring services and products meet plan sponsor needs
- Collaborate with business partners to understand enterprise initiatives and goals
- Respond to eligibility and other enrollment related issues
- Partner directly with clients, vendors, internal teams, and/or local claim operation to resolve problems and achieve positive outcomes
- Anticipate and prevent problems and roadblocks before they occur
- Solve complex problems and take a new perspective on existing solutions
- Design, develop, and deliver transitional training processes and procedures to smooth the transition for newly hired employees from formalized classroom training to the department’s production environment; mentor junior team members
- Assist with and/or evaluate recommendations involving eligibility reporting solutions and negotiate with internal/external clients
- Deliver consulting services in support of data discrepancies and/or involving reporting alternatives
Benefits
- Medical, dental, and vision coverage
- Paid time off
- Retirement savings options
- Wellness programs