Senior Eligibility Consultant at CVS Health in East Lansing, MI

Senior Eligibility Consultant Location: MI - East Lansing We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary In this role as a Senior Eligibility Consultant you will: Process accurate and timely policy and eligibility data utilizing administration systems for claim payment purposes and product production ensuring services and products meet plan sponsor needs Collaborate with business partners to understand enterprise initiatives and goals Respond to eligibility and other enrollment related issues Partner directly with clients, vendors, internal teams, and/or local claim operation to resolve problems and achieve positive outcomes Anticipate and prevent problems and roadblocks before they occur Solve complex problems and take a new perspective on existing solutions Design, develop, and deliver transitional training processes and procedures to smooth the transition for newly hired employees from formalized classroom training to the department’s production environment; mentor junior team members Assist with and/or evaluate recommendations involving eligibility reporting solutions and negotiate with internal/external clients Deliver consulting services in support of data discrepancies and/or involving reporting alternatives Required Qualifications 2+ years experience as an Eligibility Consultant Proficiency in processing accurate and timely policy and eligibility data, ensuring services and products meet the plan sponsor needs Understands intent/end state and operates with minimal guidance to meet that intent/end state Ability to manage multiple tasks and shifting priorities A team player capable of operating independently when needed Provides accurate and timely results Delegates and follows up as needed Coaches and mentors others Ability to manage high work volume and oversee a variety of incoming work flows Preferred Qualifications Industry knowledge Enrollment processing experience Education High School diploma, G.E.D. or equivalent experience Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $18.50 - $38.82 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 offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments. We anticipate the application window for this opening will close on: 05/22/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.