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
CVS Health, Specialty Pharmacy, a mail service pharmacy in Monroeville area has an opportunity for a full-time Payer Contract and Website Coordinator. The Payer Contract and Website Coordinator is primarily responsible for processing requests for access to payer websites as well as problem resolution and maintenance of system interactive websites. The Payer Contract and Website Coordinator will also be responsible for Payer Contract Creation and Maintenance in support of accurate billing and collections. Your role is critical to ensure a smooth flow of payment to payers that allows CVS Health to quickly dispense and bill for thousands of medications that are vital to the health of our patients. Various other tasks and projects will also be assigned by their leadership team. As part of this team, you will work in a fast paced and team focused environment.
We will support you by offering all the tools and resources you need to be successful in a collaborative team environment.
We offer a comprehensive benefits package which includes medical, dental, vision insurance as well as a comprehensive list of supplemental list of benefits and discount programs. In addition to sixteen paid days off for employees, we also offer ten paid holidays.
Located in the Monroeville facility, this opportunity also provides free parking.
Key Responsibilities of the Payer Contract and Website Coordinator:
- Setting up and managing user access on various Payer Websites as the administrator.
- Saving and documentation of Payer Bulletin Notifications.
- Ensuring comprehension and timely completion of Payor Code Creation and Maintenance across all lines of business.
- Reimbursement rates in support of accurate billing and collections and contract/payer agreement compliance.
- Serves as a critical point of contact to healthcare billing and reimbursement operations.
- Routinely interface with multiple internal groups, including medical billers and coders, pharmacy technicians, and contract sales associates.
- Research and submit for appropriate updates for Returned Mail.
- Research Medical Managed Medicaid Taxonomies.
- Process W9 Requests.
Required Qualifications
- 18+ months experience within healthcare or direct experience working for CVS Specialty Reimbursement Payer Relations.
- 12+ months experience using Microsoft Office products’ specifically Excel, Outlook, and Word.
- Must be able to commute to the Monroeville, PA office.
Preferred Qualifications
- Experience with SharePoint
- Experience interfacing with payers in a healthcare environment.
- Ability to work in a team setting along with working independently.
- Ability to prioritize.
Education
- Verifiable High School Diploma or GED required.
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$17.00 - $28.46
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:
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Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
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No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
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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 https://jobs.cvshealth.com/us/en/benefits
We anticipate the application window for this opening will close on: 06/21/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
CVS Health Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about CVS Health and has not been reviewed or approved by CVS Health.
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Healthcare Strength — Health coverage includes medical, dental, and vision with HSA-eligible options, free preventive care, virtual care, and access to MinuteClinic services. Mental-health resources such as counseling support are emphasized, and coverage is often considered solid for full-time colleagues.
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Retirement Support — A dollar-for-dollar 401(k) match up to 5% after one year and an Employee Stock Purchase Plan are consistently highlighted in Total Rewards materials. Feedback suggests retirement programs are a meaningful strength within the overall package.
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Wellbeing & Lifestyle Benefits — Wellbeing offerings include up to 20 no-cost counseling sessions per issue, backup care, tuition assistance, and substantial in-store discounts, alongside broader wellness tools. These everyday perks expand value beyond base pay and can be especially meaningful for full-time schedules.
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What We Do
CVS Health is the leading health solutions company that delivers care in ways no one else can. We reach people in more ways and improve the health of communities across America through our local presence, digital channels and our nearly 300,000 dedicated colleagues – including more than 40,000 physicians, pharmacists, nurses and nurse practitioners. Wherever and whenever people need us, we help them with their health – whether that’s managing chronic diseases, staying compliant with their medications, or accessing affordable health and wellness services in the most convenient ways. We help people navigate the health care system – and their personal health care – by improving access, lowering costs and being a trusted partner for every meaningful moment of health. And we do it all with heart, each and every day.
