Remote – Pharmacy Benefit Manager Invoice Processor(Entry Level/No Degree)
Posted 2025-08-15
Remote, USA
Full Time
Immediate Start
Pharmacy Benefit Manager Invoice Processor (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 colleagView Jobues – 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
This role is for the Meritain Health PBM (Pharmacy Benefit Manager) Operations Team and is responsible for processing PBM vendor invoices and claims. The PBM Invoice Processor is assigned a set of groups to maintain their invoices on a weekly, bi-weekly, or monthly basis.
Job Duties include (but are not limited to):
• Imports and monitors PBM claim data and invoice files.
• Reconciles and balances claims data and invoices in the claims processing system.
• Coordinates client billing and invoice payments.
• Communicate invoice processing errors/delays to client management.
• Communicate missing files for assigned book of business to file management.
• Maintain invoice tracker by keeping assigned book of business up to date.
• Manage special accommodation products as required. (i.e. international sourced drugs, complex PBM vendors, and high-profile clients).
• Reconcile aging reports and stop loss inquiries.
• Meet key performance metrics including production, quality, and turnaround time.
Required Qualifications
• 2+ years of experience with health care data entry and/or claims processing.
• 1-3 years of customer service experience.
Preferred Qualifications
• Ability to independently handle multiple assignments competently, accurately, and efficiently.
• Strong attention to detail.
• Work effectively in a team environment.
• Ability to work overtime if necessary.
• Demonstrated proficiency in Microsoft Excel.
Education
• High school diploma or GED.
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$17.00 – $34.15
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.
We anticipate the application window for this opening will close on: 08/07/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
MN – Work from home
MS – Work from home
MT – Work from home
PA – Work from home
NC – Work from home
LA – Work from home
MD – Work from home
ME – Work from home
NE – Work from home
MO – Work from home
ND – Work from home
CO – Work from home
AL – Work from home
NY – Work from hom
NJ – Work from home
NM – Work from home
AZ – Work from home
NV – Work from home
CA – Work from home
OH – Work from hom
CT – Work from home
SC – Work from home
TX – Work from home
DC – Work from home
FL – Work from home
RI – Work from home
HI – Work from home
IA – Work from home
AK – Work from home
AR – Work from home
SD – Work from home
ID – Work from home
IL – Work from home
VT – Work from home
TN – Work from home
KS – Work from home
VA – Work from home
DE – Work from home
WA – Work from home
UT – Work from home
WI – Work from home
GA – Work from home
IN – Work form home
WV – Work from home
KY – Work from home
OR – Work from home
WY – Work from home
MI – Work from home
MA – Work from home
NH – Work from home
OK – Work from home Apply tot his job
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 colleagView Jobues – 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
This role is for the Meritain Health PBM (Pharmacy Benefit Manager) Operations Team and is responsible for processing PBM vendor invoices and claims. The PBM Invoice Processor is assigned a set of groups to maintain their invoices on a weekly, bi-weekly, or monthly basis.
Job Duties include (but are not limited to):
• Imports and monitors PBM claim data and invoice files.
• Reconciles and balances claims data and invoices in the claims processing system.
• Coordinates client billing and invoice payments.
• Communicate invoice processing errors/delays to client management.
• Communicate missing files for assigned book of business to file management.
• Maintain invoice tracker by keeping assigned book of business up to date.
• Manage special accommodation products as required. (i.e. international sourced drugs, complex PBM vendors, and high-profile clients).
• Reconcile aging reports and stop loss inquiries.
• Meet key performance metrics including production, quality, and turnaround time.
Required Qualifications
• 2+ years of experience with health care data entry and/or claims processing.
• 1-3 years of customer service experience.
Preferred Qualifications
• Ability to independently handle multiple assignments competently, accurately, and efficiently.
• Strong attention to detail.
• Work effectively in a team environment.
• Ability to work overtime if necessary.
• Demonstrated proficiency in Microsoft Excel.
Education
• High school diploma or GED.
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$17.00 – $34.15
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.
We anticipate the application window for this opening will close on: 08/07/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
MN – Work from home
MS – Work from home
MT – Work from home
PA – Work from home
NC – Work from home
LA – Work from home
MD – Work from home
ME – Work from home
NE – Work from home
MO – Work from home
ND – Work from home
CO – Work from home
AL – Work from home
NY – Work from hom
NJ – Work from home
NM – Work from home
AZ – Work from home
NV – Work from home
CA – Work from home
OH – Work from hom
CT – Work from home
SC – Work from home
TX – Work from home
DC – Work from home
FL – Work from home
RI – Work from home
HI – Work from home
IA – Work from home
AK – Work from home
AR – Work from home
SD – Work from home
ID – Work from home
IL – Work from home
VT – Work from home
TN – Work from home
KS – Work from home
VA – Work from home
DE – Work from home
WA – Work from home
UT – Work from home
WI – Work from home
GA – Work from home
IN – Work form home
WV – Work from home
KY – Work from home
OR – Work from home
WY – Work from home
MI – Work from home
MA – Work from home
NH – Work from home
OK – Work from home Apply tot his job