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Position Summary
The Plan Sponsor Liaison (Sr. Analyst, Plan Sponsor Support) serves as the Single Point of Contact (SPOC) - Subject Matter Expert (SME) for our customers, brokers, consultants, and internal Aetna constituents. The Plan Sponsor Liaison will respond, manage, and resolve escalated and complex global issues for claims/calls and plan sponsor support teams. The Plan Sponsor Liaison will proactively identify and surface customer and plan issues for resolution while acting as a liaison to communicate workflow results, ideas, and solutions. The Plan Sponsor Liaison will work with cross-functional business units and vendors to support the customer’s needs; promotes collaboration among constituents and represents a professional image of the company.
What you will do
Assists with establishing and implementing results-based programs and innovative initiatives for the plan sponsor area, under general supervision.
Applies in-depth knowledge of the plan sponsor work area to offer feedback for decisions and innovation strategies that enhance organizational growth and visibility.
Examines escalated member-specific issues and/or broader plan administration matters as the single point of contact to provide swift resolution.
Develops complex customer service account management plans for each account and implements plan for both new and existing accounts.
Coordinates complex installations of new and existing accounts for the site by attending implementation planning/process meetings.
Develops responses to requests for proposal (RFPs) and attends prospects calls.
Configures processes and assignments for onsite and customer visits.
Supports the installation of new and existing accounts for the site by attending implementation planning/process meetings.
Proactively resolves issues with account executives, sales representatives, installation managers and the claims office as appropriate.
Assist customers and sales in understanding the impacts of non-standard benefits.
Analyzes constituent data, identifies trends and issues.
Creates and presents information to various-internal and external constituents.
Required Qualifications
2-4 years of experience in the health insurance industry.
2-4 years of experience working with claims and benefits.
3+ years of experience in Microsoft Office (PowerPoint, Excel, Teams, Word, Outlook).
Must be willing to travel up to 10% of the time within the United States.
Preferred Qualifications
Demonstrates strong consultive skills and ability to influence constituents.
Strong leadership and project management skills.
Auto adjudication knowledge (e.g., number of claims affected on non-standard plans, knowing when a benefit auto adjudicates).
Strong and effective communication skills (verbal, written, presentation).
Time management and organizational skills.
Current strong working knowledge of GPS.
Ability to adapt and work in a fast paced, evolving environment.
Strong understanding of multiple aspects of the plans and products (e.g., CCI coding).
Critical thinking and decision-making skills.
Strong knowledge of Aetna standards.
Ability to work independently and in a team environment.
Collaborate effectively to identify and implement action plans to address different situations.
Manage multiple priorities and tasks while maintaining the ability to honor commitments.
Education
Associate’s degree or equivalent work experience.
Pay Range
The typical pay range for this role is:
$46,988.00 - $91,800.00This 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.
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.
For more detailed information on available benefits, please visit Benefits | CVS Health
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.