Senior Representative - Claims Processing jobs in United States
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CVS Health · 11 hours ago

Senior Representative - Claims Processing

CVS Health is the nation’s leading health solutions company, dedicated to transforming health care. The Senior Representative is responsible for overseeing 340B administration activities and ensuring accurate and timely operational processes.

Health CareMedicalPharmaceuticalRetailSales

Responsibilities

Ensuring 340B administration operational activities are completed in an accurate and timely manner
Performing daily functions related to client/project implementation, system configuration, ongoing program management and customer service

Qualification

Customer serviceTechnical aptitudeOrganizational skillsOffice software proficiencyCommunication skillsDetail orientationTeam collaborationInitiative

Required

High School diploma required
Experience with customer service required
Technical aptitude essential with the ability to learn proprietary systems
Well-developed written and oral communication skills
Ability to build rapport and relationships by interacting effectively with employees and external contacts, demonstrating the awareness of their needs and responding with the appropriate action
Highly effective organizational skills
Persistence and detail-orientation required
Computer Skills, including Word, PowerPoint, Excel and Outlook required

Preferred

Experience in a managed care, health care, pharmaceutical or provider setting preferred
Possesses excellent customer relations management skills: Understands WP CPS business and is able to articulate it to clients to assist them with their questions and concerns
Is able to map and manage a client conversation in a respectful and professional manner
Is able to listen to clients and identify client issues and provide appropriate information to clients
Is able to identify and escalates client issues that are not manageable as appropriate
Possesses excellent office software and analytic skills: Proficient at standard office software including Outlook, Word, and Excel
Learns and becomes proficient at WP CPS products
Integrates into and WP culture and operations structure by: Displaying excellent communication skills is required in working with coworkers, including the ability to communicate effectively and remain calm and courteous under pressure
Completing other tasks as assigned, provides feedback as appropriate, and respectfully contributes to improving overall organizational performance
Working collaboratively in a team environment with a spirit of cooperation
Takes initiative by assisting fellow team members and responding to clients

Benefits

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.

Company

CVS Health

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CVS Health is a health solutions company that provides an integrated healthcare services to its members.

Funding

Current Stage
Public Company
Total Funding
$4B
Key Investors
Michigan Economic Development CorporationStarboard Value
2025-08-15Post Ipo Debt· $4B
2025-07-17Grant· $1.5M
2019-11-25Post Ipo Equity

Leadership Team

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David Joyner
President and Chief Executive Officer, CVS Health
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Chandra McMahon
SVP & CISO
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Company data provided by crunchbase