CVS Health

Tech I – Prior Authorization Operations

CVS Health

full-time

Posted on:

Location Type: Remote

Location: TennesseeUnited States

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Salary

💰 $17 - $26 per hour

Job Level

About the role

  • Takes in-bound calls from providers, pharmacies, members, etc.
  • Provides professional and courteous phone assistance to all callers through the criteria-based prior authorization process.
  • Maintains complete, timely, and accurate documentation of reviews.
  • Transfers all clinical questions, escalations, and judgment calls to the pharmacist team.
  • Assists with duties such as outbound calls, reviewing and processing Prior Auths received via fax and ePA, monitoring inquiries via department mailboxes.

Requirements

  • 1 years of prior work experience
  • Associates Degree or Bachelors Degree preferred
  • High School Diploma or equivalent GED
Benefits
  • Affordable medical plan options
  • 401(k) plan (including matching company contributions)
  • Employee stock purchase plan
  • No-cost wellness screenings
  • Tobacco cessation and weight management programs
  • Confidential counseling
  • Financial coaching
  • Paid time off
  • Flexible work schedules
  • Family leave
  • Dependent care resources
  • Colleague assistance programs
  • Tuition assistance
  • Retiree medical access
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Soft Skills
professional phone assistancecourteous communicationdocumentation accuracyescalation management
Certifications
Associates DegreeBachelors DegreeHigh School DiplomaGED