Coordinator, Member Services

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.This is a fully remote anywhere in the US position

Work Schedule: Tuesday through Saturday 8:00am-430pm AZ time Position Summary

The MCO Coordinator is responsible ensuring the timely and accurate quality validation for member correspondence; including but not limited to Medicare operational letters. This position involves establishing positive working relationships with internal and external customers by providing accurate, reliable, and timely file submissions, reviews, letter markup, and error resolution. This is acheived through quality review of PDF images for correct template, content, client branding, and formatting so letters can accurately print and send to plan participants.As an individual contributor and team player for any current and upcoming projects and initiatives. They will identify and assist staff to ensure all work is performed within SLA and will participate in updates to the templates and mailings to manage daily activities. The role will complete and maintain tracking report of all correspondence for record-keeping and prepare files to be reviewed and ensure work is completed in a timely manner. The Coordinator will also be responsible for monitoring, analyzing, and communicating within the organization of identifying deficiencies of letters.This individual will also be trained on various operational processes supported by MCO teams to assist with execution during times of elevated volumes.Responsibilities

• Proof letters in PDF format against data file information and template for accuracy.
• Support lead team members with internal research, documentation, follow-up, requirements capture, etc.
• Special projects as assigned, related to ongoing improvement and expansion

• Ability to prioritize and handle multiple work tasks on an ongoing basis.
• Highly motivated and able to work with limited supervision within established guidelines.
• Proficient in Microsoft Outlook, Word, and Excel.
• Dependable, flexible, reliable team player.
• Excellent communication skills, both written and verbal.

• 3+ years of relevant experience.
• General understanding of PBM or healthcare operations.
• Knowledge of print file functionality and data requirements.
• Bachelor Degree preferred
• Quality check or proofreading experience (sample of finished product to a standard) .

• 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.