Pharmacy Benefit Manager Invoice Processor (Meritain Health)

Job title: Pharmacy Benefit Manager Invoice Processor (Meritain Health)

Company: CVS Health


Job description: At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.Position SummaryThis role is for the Meritain Health PBM (Pharmacy Benefit Manager) Operations Team and is responsible for processing PBM vendor invoices and claims. The PBM Invoice Processor is assigned a set of groups to maintain their invoices on a weekly, bi-weekly, or monthly basis.Job Duties include (but are not limited to):

• Imports and monitors PBM claim data and invoice files.
• Reconciles and balances claims data and invoices in the claims processing system.
• Coordinates client billing and invoice payments.
• Communicate invoice processing errors/delays to client management.
• Communicate missing files for assigned book of business to file management.
• Maintain invoice tracker by keeping assigned book of business up to date.
• Manage special accommodation products as required. (i.e. international sourced drugs, complex PBM vendors, and high-profile clients).
• Reconcile aging reports and stop loss inquiries.
• Meet key performance metrics including production, quality, and turnaround time.

Required Qualifications

• 2+ years of experience with health care data entry and/or claims processing.
• 1-3 years of customer service experience.

Preferred Qualifications

• Ability to independently handle multiple assignments competently, accurately, and efficiently.
• Strong attention to detail.
• Work effectively in a team environment.
• Ability to work overtime if necessary.
• Demonstrated proficiency in Microsoft Excel.

EducationHigh school diploma or GED.Anticipated Weekly Hours 40Time Type Full timePay RangeThe typical pay range for this role is:$17.00 – $34.15This 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 peopleWe take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.For more information, visitWe anticipate the application window for this opening will close on: 05/12/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Expected salary:

Location: Amherst, NY

Job date: Thu, 01 May 2025 23:52:52 GMT

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