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  • Senior Representative - Claims Processing

    CVS Health (Tualatin, OR)



    Apply Now

    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

    The Operations Specialist is responsible for ensuring 340B administration operational activities are completed in an accurate and timely manner. Operations are at the core of Wellpartner’s Contract Pharmacy Services (CPS) and are essential to administrating 340B programs for covered entities. This position is directly responsible for performing daily functions related to client/project implementation, system configuration, ongoing program management and customer service. The position will be located in the company’s Tualatin, OR office.

    Required Qualifications

    + High School diploma required

    + Experience with customer service required

    + Experience in a managed care, health care, pharmaceutical or provider setting preferred

    + Technical aptitude essential with the ability to learn proprietary systems

    + Well-developed written and oral communication skills

    + Ability to build rapport and relationships by interacting effectively with employees and external contacts, demonstrating the awareness of their needs and responding with the appropriate action

    + Highly effective organizational skills

    + Persistence and detail-orientation required

    + Computer Skills, including Word, PowerPoint, Excel and Outlook required

    Preferred Qualifications

    + Possesses excellent customer relations management skills:

    + Understands WP CPS business and is able to articulate it to clients to assist them with their questions and concerns.

    + Is able to map and manage a client conversation in a respectful and professional manner.

    + Is able to listen to clients and identify client issues and provide appropriate information to clients.

    + Is able to identify and escalates client issues that are not manageable as appropriate

    + Possesses excellent office software and analytic skills:

    + Proficient at standard office software including Outlook, Word, and Excel

    + Learns and becomes proficient at WP CPS products

    + Integrates into and WP culture and operations structure by:

    + Displaying excellent communication skills is required in working with coworkers, including the ability to communicate effectively and remain calm and courteous under pressure.

    + Completing other tasks as assigned, provides feedback as appropriate, and respectfully contributes to improving overall organizational performance.

    + Working collaboratively in a team environment with a spirit of cooperation.

    + Takes initiative by assisting fellow team members and responding to clients.

    Education

    High school diploma or GED

     

    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 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: 01/16/2026

     

    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.

     


    Apply Now



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