CVS Health Logo

CVS Health

Client Experience Manager, Pharmacy Benefits Management

Posted 2 Days Ago
Be an Early Applicant
In-Office or Remote
16 Locations
47K-122K Annually
Senior level
In-Office or Remote
16 Locations
47K-122K Annually
Senior level
Manage client and member support for pharmacy benefits, including plan changes, ID cards, prior authorizations, claims resolution, eligibility updates, reporting, invoicing, and participation in implementation and external meetings.
The summary above was generated by AI

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. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

What you will do:

Client Support

  • Perform and support plan changes.

  • Perform ID card facilitation.

  • Complete any necessary reporting (scheduled, ad-hoc).

  • Conduct inbound phone calls.

  • Complete any assigned invoices.

  • Perform any assigned group terminations.

  • Complete documentation requests.

  • Serve as a presence throughout the implementation process.

  • Facilitate and participate in external-facing meetings.

Member Support

  • Perform overrides as needed.

  • Oversee prior authorization and accessibility processes.

  • Conduct inbound phone calls.

  • Oversee resolution of claims issues.

  • Perform manual eligibility adds and terminations.

  • Service warranties as assigned.

Required Qualifications

  • 5+ years of experience in a pharmacy, PBM (Pharmacy Benefit Management), and/or insurance setting.

  • Ability to travel up to 25% of time within the continental United States.

Preferred Qualifications

  • Certified Pharmacy Technician.

  • Basic awareness of problem solving and decision-making skills.

  • Previous experience with Salesforce.

  • Bachelor’s degree.

Education

  • High school diploma or GED.

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$46,988.00 - $122,400.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.  The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.  This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. 
 

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.


Additional details about available benefits are provided during the application process and on
Benefits Moments.

We anticipate the application window for this opening will close on: 08/14/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Similar Jobs

56 Minutes Ago
Easy Apply
Remote or Hybrid
United States
Easy Apply
174K-200K Annually
Senior level
174K-200K Annually
Senior level
AdTech • Cloud • Marketing Tech • Productivity • Software • Analytics • Automation
The Director of Product Marketing will lead the go-to-market strategy for Acquia Source, focusing on the launch, narrative, sales enablement, and commercial outcomes. Responsibilities include defining buyer journeys, positioning the product, enabling sales and partners, measuring success, and collaborating cross-functionally.
Top Skills: AIB2B SaasCmsDxpMartech
An Hour Ago
Remote
United States
119K-190K Annually
Entry level
119K-190K Annually
Entry level
Cloud • Fintech • Food • Information Technology • Software • Hospitality
Support SMB Account Executives by providing Mandarin-language sales support: join discovery and demo calls, review quotes and contracts in Mandarin, assist deal progression and handoff to onboarding, and collaborate with sales and cross-functional teams to convert referred demand into new customers.
5 Hours Ago
In-Office or Remote
29-52 Hourly
Junior
29-52 Hourly
Junior
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
Provide clinical care coordination for medically complex Medicare/Medicaid members through telephonic and face-to-face assessments, individualized care plans, community referrals, hospital monitoring, member education, and documentation using health plan systems. Collaborate with multidisciplinary care teams to ensure appropriate services, utilization, and regulatory compliance.
Top Skills: Health Plan SoftwareExcelMicrosoft OutlookMicrosoft Word

What you need to know about the Los Angeles Tech Scene

Los Angeles is a global leader in entertainment, so it’s no surprise that many of the biggest players in streaming, digital media and game development call the city home. But the city boasts plenty of non-entertainment innovation as well, with tech companies spanning verticals like AI, fintech, e-commerce and biotech. With major universities like Caltech, UCLA, USC and the nearby UC Irvine, the city has a steady supply of top-flight tech and engineering talent — not counting the graduates flocking to Los Angeles from across the world to enjoy its beaches, culture and year-round temperate climate.

Key Facts About Los Angeles Tech

  • Number of Tech Workers: 375,800; 5.5% of overall workforce (2024 CompTIA survey)
  • Major Tech Employers: Snap, Netflix, SpaceX, Disney, Google
  • Key Industries: Artificial intelligence, adtech, media, software, game development
  • Funding Landscape: $11.6 billion in venture capital funding in 2024 (Pitchbook)
  • Notable Investors: Strong Ventures, Fifth Wall, Upfront Ventures, Mucker Capital, Kittyhawk Ventures
  • Research Centers and Universities: California Institute of Technology, UCLA, University of Southern California, UC Irvine, Pepperdine, California Institute for Immunology and Immunotherapy, Center for Quantum Science and Engineering

Sign up now Access later

Create Free Account

Please log in or sign up to report this job.

Create Free Account