Pharmacy Benefit Manager Invoice Processor (Meritain Health)

Meritain Health Pbm Operations Team

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 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.
• Communicates invoice processing errors / delays to client management.
• Communicates missing files for assigned book of business to file management.
• Maintains invoice tracker by keeping assigned book of business up to date.
• Manages special accommodation products as required (i.e. international sourced drugs, complex PBM vendors, and high-profile clients).
• Reconciles aging reports and stop loss inquiries.
• Meets key performance metrics including production, quality, and turnaround time.

Required qualifications :

Preferred qualifications :

Education :

Anticipated weekly hours : 40

Time type : Full time

Pay range : The typical pay range for this role is : $17.00 - $34.15

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 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 :

We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex / gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.