Senior Representative - Clinical Support - Work From Home
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
CVS Health has an exciting opportunity for a Senior Rep within our Prior Authorization & Appeals Administration department. In this role, the Senior Rep will assist the CAS PA Admin supervisor with day to day tactical issues, training, coaching and other business needs. The candidate will also promote a positive working environment and initiate suggestions to continually improve process and protocols within CAS PA Admin. Other responsibilities include assisting the supervisor with standardization of procedures, and dissemination of information to staff; acting as a subject matter expert in CAS PA Admin processes and procedures; communicating clearly and accurately when interacting with all levels of employees, plan participants, physician office and partners ; manage escalated and more advanced CAS PA Admin issues when needed; answer questions and recommend corrective action to address complaints; handles special projects and assignments as designated by the supervisor and/or manager.
Required Qualifications
- 1+ years of experience in the CVS Caremark Prior Authorization and Appeals
Administration department
- Must be considered in good attendance and performance standing
- Requires flexibility to work various shifts between 8am and 8pmPreferred Qualifications
- Superior PC skills in Windows based applications
- Superior CAS Admin skills
- Excellent verbal and written communication skills
- Able to work in a team environment
- Ability to positively deal with changes and promote a positive work environment
- Prefer at least 2 years of experience in a complex, high impact customer service roleEducation
Highschool diploma or G.E.D. Anticipated Weekly Hours
40Time Type
Full timePay Range
The typical pay range for this role is:$18.50 - $35.29This 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 peopleWe 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:
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- 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.
Perks and Benefits
Health and Wellness
- Health Insurance
- Dental Insurance
- Vision Insurance
- Life Insurance
- HSA
- HSA With Employer Contribution
- Pet Insurance
- Mental Health Benefits
Parental Benefits
- Fertility Benefits
- Adoption Assistance Program
- Family Support Resources
Work Flexibility
- Flexible Work Hours
- Remote Work Opportunities
- Hybrid Work Opportunities
Office Life and Perks
Vacation and Time Off
- Paid Vacation
- Paid Holidays
- Personal/Sick Days
Financial and Retirement
- 401(K) With Company Matching
Professional Development
- Tuition Reimbursement
Diversity and Inclusion
- Employee Resource Groups (ERG)
- Diversity, Equity, and Inclusion Program