Benefits Analyst, Account Manager (Miami-Dade County)

Benefits Analyst, Account Manager

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

As the Benefits Analyst, Account Manager at CVS Health, you will play a critical role in supporting client satisfaction, retention, and engagement by serving as a trusted onsite representative to our public sector client. This field-based role centers on delivering responsive, high-touch support to plan sponsors and members, resolving issues, and building lasting relationships throughout the life of the account. You will act as a key liaison between CVS Health and our clients, offering in-person support across multiple worksites, handling complex benefit and claims inquiries, and providing education during open enrollment and health-related events. This role is ideal for someone with excellent communication skills, knowledge of healthcare benefits, and a passion for serving their community.

Primary Job Duties & Responsibilities

• Research and Resolve: Handle member inquiries and escalations related to benefits, claims, eligibility, and policy interpretation by identifying root causes, coordinating with internal departments, and delivering timely, accurate solutions.

• Client Relationship Management: Serve as the primary onsite liaison for designated public sector accounts, developing strong working relationships with plan sponsors, benefits teams, and key stakeholders.

• Onsite Engagement: Provide real-time support to plan sponsors and members at various client worksites, ensuring a consistent and high-quality customer experience through visibility and responsiveness.

• Event Management & Representation: Plan and lead open enrollment meetings, employee health fairs, wellness events, and other onsite or virtual engagements to educate and inform members about available benefits and services.

• Reporting & Analytics: Review and interpret data related to claims, utilization, and service issues. Communicate insights and trends to clients in a way that supports transparency, understanding, and decision-making.

• Benefits Expertise: Maintain in-depth knowledge of client-specific benefits, eligibility guidelines, pharmacy services, and CVS Health systems to serve as a subject matter expert and trusted advisor.

• Issue Escalation & Follow-up: Collaborate cross-functionally with internal teams (Eligibility, Claims, Clinical) to track and resolve complex or repeated issues and ensure timely follow-through.

• Compliance & Documentation: Ensure all interactions and activities align with HIPAA, company policies, and contractual obligations. Maintain clear, accurate records of member and client interactions.

• Travel & Territory Management: Regularly travel to client sites throughout Miami-Dade County. Manage scheduling, site coverage, and communication independently, while prioritizing key stakeholder needs.

Success in the Role

Success in this role is driven by a strong sense of teamwork, ownership, and purpose. You thrive when collaborating with colleagues across departments and take pride in knowing that your efforts directly impact client satisfaction and member experience. Key indicators of success include:

• Client Trust & Retention: Building strong, long-term relationships with plan sponsors by consistently delivering responsive, knowledgeable, and personalized support.

• Member Experience: Resolving member issues quickly and empathetically, ensuring they feel heard, supported, and confident in their benefits.

• Collaboration & Teamwork: Partnering effectively with internal teams to resolve issues, share insights, and contribute to collective goals.

• Proactive Problem Solving: Anticipating client and member needs before they escalate, using data and insights to identify trends and drive improvement.

• Ownership & Accountability: Taking initiative to follow through on commitments, manage responsibilities, and represent CVS Health with professionalism and care.

• Visible Impact: Feeling the direct reward of your work through positive client feedback, improved service metrics, and seeing the real-life impact your support has on the client experience.

Required Qualifications

• 12 years of experience in health insurance, healthcare services, or client/account management.

• Active Florida Health, Life, and Variable Annuity Insurance License (or ability to obtain within 120 days of hire).

• Must be willing and able to go on-site to client location in Miami-Dade County Monday - Friday.

• Strong oral and written communication skills with a customer-first mindset.

• Excellent organizational and time management skills; ability to manage multiple priorities simultaneously.

• Proficiency with Microsoft Office Suite (Word, Outlook, Excel).

• Must be able to work independently and exercise sound judgment in problem-solving.

Preferred Qualifications

• Familiarity with managed care processes, healthcare sales, or pharmacy benefits.

• Demonstrated experience with client-facing roles, including public sector or union accounts.

• Strong presentation skills and the ability to tailor messages to diverse audiences.

• Exceptional interpersonal and relationship-building skills, both internally and externally.

• Associate's degree preferred.

• Additional healthcare, insurance, or customer service training a plus.

Education

• High School diploma or GED required.

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$43,888.00 - $85,068.00

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.