Client Advocate I (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

The Client Advocate supports service & administration of Meritain products to achieve client satisfaction and profitable growth by building relationships with assigned clients, brokers and internal partners, monitoring activity and reporting for the assigned book of business, proactive & reactive support of client issues and supporting client retention.

Responsibilities

Services assigned book of business.

Acknowledges customer's inquiry within one business day.

Creates and maintains PDET (Product Design Engineering Technology) cases as outlined in policy guidelines.

Acts as the single point of contact for client's operational inquiries and escalated issues. Resolutions to include (but not are not limited to) claims, enrollment, ID cards, COBRA (Consolidated Omnibus Budget Reconciliation Act), FSA (Flexible Spending Account), network operations, PBM (Pharmacy Benefit Manager), customer service, EDI (Electronic Data Interchange) files, and finance.

Provides plan document interpretation and ensures the client's questions are addressed.

Conducts client portal training.

Supports operational departments to enhance the member experience through improved workflows and process improvements.

Identifies opportunities that support account owners in developing and delivering strategic plans.

Required Qualifications

1-3 years of experience working with health insurance.

1-3 years of experience working with claims.

Preferred Qualifications

Previous experience with stop-loss products.

Ability to meet deadlines.

Decision-making skills.

Conflict resolution, flexibility, time management, and active listening skills.

Knowledge and experience with administrative operations.

Professional written & verbal communication skills.

Experience in Outlook, Word, Excel, PowerPoint, and Teams.

DG & Salesforce experience.

General knowledge of Meritain applications.

Education

• Associate's Degree or equivalent work experience (high school diploma or GED + 2 years relevant experience).

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is :

$43,888.00 - $102,081.00

This 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 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 :

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.

For more information, visit

We anticipate the application window for this opening will close on : 11 / 20 / 2025

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

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.