Medicare Eligibility Consultant

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
The successful candidate will make changes to member demographic data or creditable coverage information as well as addressing a variety of enrollment questions or concerns. Maintains enrollment data in eligibility systems to ensure compliance with CMS guidance requirements. 

Required Qualifications

• Meet Monthly Metrics as defined by department:   Overall quality 95%; weighted production 11; TAT to meet or exceed established standards for inventory queues.
• Participate in cross training on various products and platforms to ensure Enrollment metrics are met 
• Take ownership to resolve customer issues using all available resources including process flows and CMS guidance
• Identifying training opportunities and/or reference resources to improve knowledge and processing.  Escalate suggestions for systems and process updates to senior or management. 
• Demonstrate professionalism, active listening skills and processing knowledge when communicating with internal and external customers
• Reinvigorate our culture around member experience by prioritizing, collaborating, being accountable and communicating
•   Understand the processes you work and possible impacts to other departments
• Demonstrate measurable improvement in quality of processing from year to year by reducing your personal errors from occurring in OMT, avoidable rejections and found errors 
•   Work collaboratively with a Senior if you identify potential system issues and  provide detailed information with possible impacts

Preferred Qualifications

• Attention to detail and accuracy.
• Problem solving skills.
• Good organization skills.
• Good verbal and written communication skills.

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.  
 

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.

For more information, visit https://jobs.cvshealth.com/us/en/benefits

We anticipate the application window for this opening will close on: 03/19/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.