Senior Coordinator, Financial Operations
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
As a Senior Coordinator in the NEJE Premium Billing team, you'll be at the heart of our operations-supporting members, ensuring accurate billing, and helping us stay compliant with Medicare Part D regulations. You'll work closely with internal teams to manage member payments, resolve billing issues, and process reinstatements for members facing significant life events. This role is ideal for someone who thrives in a fast-paced environment, brings strong financial and operational insight, and communicates with clarity and care.This is a hybrid role that will require a partial on-site presence 3 days per week and can be in Scottsdale, AZ, Northbrook, IL, Irving, TX, Hartford, CT, or Woonsocket, RI. Additional CVS Health locations may be considered.Key Responsibilities
- Automatic Payments: Monitor and support processes related to Social Security Administration (SSA), Railroad Retirement Board (RRB), electronic funds transfers (EFT), and recurring credit card payments (RCD) to ensure accurate and timely payment posting and enrollment.
- Member Billing Support: Investigate and resolve member billing concerns in collaboration with internal teams, including Customer Care, Grievance, and Account Management. Assist with generating weekly member statements and faxing them to members when needed.
- Good Cause Reinstatements: Review and process reinstatement requests for members who have experienced significant life events. Reinstate eligible members in accordance with Medicare Part D guidelines, ensuring full compliance.
- Weekly Refunds: Assist with the weekly refund process to ensure timely issuance of refunds and adherence to CMS regulations.
- Dunning and Disenrollment: Support the dunning and disenrollment process by ensuring accuracy, timeliness, and strict compliance with CMS standards. Collaborate with the automation team to identify opportunities for process improvement and efficiency.
- 1 or more years of professional experience in a finance, accounting, or billing operations role.
- Familiarity with SAP, FACETS, COMPASS
- Experience with financial reconciliations and premium billing processes
- Strong proficiency in Microsoft Office Suite (Excel, Word, PowerPoint)
- Excellent analytical skills, attention to detail, and ability to prioritize tasks effectively
- Ability to adapt quickly, manage multiple tasks simultaneously, and perform effectively in a deadline-driven environment
Education
- High School Diploma or GED required
40Time Type
Full timePay Range
The typical pay range for this role is:$18.50 - $35.29This 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:
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- 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.
Perks and Benefits
Health and Wellness
- Health Insurance
- Dental Insurance
- Vision Insurance
- Life Insurance
- HSA
- HSA With Employer Contribution
- Pet Insurance
- Mental Health Benefits
Parental Benefits
- Fertility Benefits
- Adoption Assistance Program
- Family Support Resources
Work Flexibility
- Flexible Work Hours
- Remote Work Opportunities
- Hybrid Work Opportunities
Office Life and Perks
Vacation and Time Off
- Paid Vacation
- Paid Holidays
- Personal/Sick Days
Financial and Retirement
- 401(K) With Company Matching
Professional Development
- Tuition Reimbursement
Diversity and Inclusion
- Employee Resource Groups (ERG)
- Diversity, Equity, and Inclusion Program