Coordinator, Member Services

MCO Coordinator

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 is a fully remote anywhere in the US position Work Schedule: Tuesday through Saturday 8:00am-4:30pm AZ time Position Summary The MCO Coordinator is responsible ensuring the timely and accurate quality validation for member correspondence; including but not limited to Medicare operational letters. This position involves establishing positive working relationships with internal and external customers by providing accurate, reliable, and timely file submissions, reviews, letter markup, and error resolution. This is acheived through quality review of PDF images for correct template, content, client branding, and formatting so letters can accurately print and send to plan participants. As an individual contributor and team player for any current and upcoming projects and initiatives. They will identify and assist staff to ensure all work is performed within SLA and will participate in updates to the templates and mailings to manage daily activities. The role will complete and maintain tracking report of all correspondence for record-keeping and prepare files to be reviewed and ensure work is completed in a timely manner. The Coordinator will also be responsible for monitoring, analyzing, and communicating within the organization of identifying deficiencies of letters. This individual will also be trained on various operational processes supported by MCO teams to assist with execution during times of elevated volumes.

Responsibilities

• Proof letters in PDF format against data file information and template for accuracy.
• Support lead team members with internal research, documentation, follow-up, requirements capture, etc.
• Special projects as assigned, related to ongoing improvement and expansion

Required Qualifications

• Ability to prioritize and handle multiple work tasks on an ongoing basis.
• Highly motivated and able to work with limited supervision within established guidelines.
• Proficient in Microsoft Outlook, Word, and Excel.
• Dependable, flexible, reliable team player.
• Excellent communication skills, both written and verbal.

Preferred Qualifications

• 3+ years of relevant experience.
• General understanding of PBM or healthcare operations.
• Knowledge of print file functionality and data requirements.
• Bachelor Degree preferred.
• Quality check or proofreading experience (sample of finished product to a standard).

Education

HS Diploma or GED equivalent

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.

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. 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 https://jobs.cvshealth.com/us/en/benefits

We anticipate the application window for this opening will close on: 08/24/2025 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.