Renewal Plan Builder (Meritain Health)

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 Summary

• Provides plan benefit review, interpretation, and systematic setup essential for online viewing and processing related to customer service, claims, enrollment, billing, and reporting in support of internal and external partners.
• Ability to utilize Meritain's proprietary system for analytical coding of detailed customized plans rather than standard offerings.
• Develops and executes implementation strategy consistent with client expectations; ensures strategy is administered in accordance with all performance guarantee arrangements.
• Consults and advises internal stakeholders on complex benefit administration. Advises on options to minimize manual processing and disruption for the clients.
• Uses business knowledge and experience to make plan design and processing recommendations when working with clients.
• Reviews benefit provisions to ensure compliance with state and federal mandates. Evaluation process may also include assessment of summary plan descriptions and other related documents prepared internally or externally by clients.
• Collaborates on review, analysis, and development of recommendations for the design of complex account and benefit structures based on customers' objectives and Meritain's system.
• Executes system setup and mapping of client level benefits to align with industry coding (ICD 10, place of service, healthcare reform, etc.), similar to entry level IT programming.
• Solicits and assesses internal and external customer feedback to drive continuous quality improvement on the renewal process (ie. system tools, resources, etc.).
• Demonstrates Salesforce proficiency and understanding for cross functional communication and enable executive level status reporting.

• 1-3 years of experience working with healthcare.
• 1+ year of experience working with medical terminology.

• 1-3 years of experience working quality, claims, and/or plan building.
• 5+ years of experience working with healthcare.
• Experience working with Salesforce.
• 1+ year of experience with various data systems, including DOS ( Disk Operating Systems ) or CRMs ( Customer Relationship Management ).
• Ability to research and look beyond the initial answer to find the root of a concern.
• Ability to be highly organized and to quickly prioritize multiple assignments with high quality results.
• Strong communication skills with the ability to express complex concepts in a clear and concise manner.
• High attention to detail and accuracy while focusing on overall project deliverables
• Ability to remain flexible yet focused during stressful situations.
• Analytical and problem-solving skills.
• Ability to work a hybrid schedule (3 days in office) out of Plymouth, MN, Amherst, NY, or Lansing, MI.

• 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.