Experienced Prior Authorization Technician for Specialty Guideline Management Programs - Remote Opportunity

Transforming Healthcare with CVS Health: Join Our Team as a Prior Authorization Technician

At CVS Health, we're on a mission to redefine the healthcare landscape by making it more personal, convenient, and affordable. With a presence in numerous moments of people's lives, we're committed to increasing patient access to care, lowering costs, and improving the quality of care. As a Prior Authorization Technician, you'll play a vital role in our Specialty Guideline Management Programs, ensuring seamless communication and processing of prior authorization referrals.

About the Role

This fully remote position requires a highly skilled and dedicated individual to work closely with our Case Review Unit, Customer Service, Benefits Verification, and Pharmacy Operations teams. As a Prior Authorization Technician, you'll be responsible for:

• Processing and communicating Specialty medication prior authorization referrals reviewed by the Case Review Unit
• Collaborating with cross-functional teams to communicate referral status and determinations
• Providing fax processing and telephone call assistance to prescriber office staff, pharmacies, and members based on program criteria
• Maintaining accurate and timely documentation of all relevant information
• Working closely with the Case Review Unit Clinician team for clinical support on daily functions
• Performing other duties as assigned by the leadership team

Essential Qualifications

To succeed in this role, you'll need:

• 1 year of healthcare experience
• Residency in Hawaii
• Reliable internet connectivity
• A private, dedicated workspace free from distractions
• Verifiable High School Diploma or GED

Preferred Qualifications

While not mandatory, the following qualifications will give you a competitive edge:

• Prior Authorization experience

What We Offer

At CVS Health, we believe in rewarding our colleagues for their hard work and dedication. Our comprehensive benefits package includes:

• A competitive salary ranging from $17.00 to $34.15 per hour
• Eligibility for a CVS Health bonus, commission, or short-term incentive program
• A full range of medical, dental, and vision benefits
• A 401(k) retirement savings plan and an Employee Stock Purchase Plan
• A fully-paid term life insurance plan, short-term and long-term disability benefits
• Numerous well-being programs, education assistance, and free development courses
• A CVS store discount and discount programs with participating partners
• Paid Time Off (PTO) or vacation pay, as well as paid holidays throughout the calendar year

Career Growth and Development

As a Prior Authorization Technician at CVS Health, you'll have opportunities to grow and develop your skills in a dynamic and supportive environment. Our Heart At Work Behaviors guide our commitment to delivering enhanced human-centric health care, and we empower our colleagues to play an active role in shaping the future of healthcare.

Our Culture

At CVS Health, we're passionate about creating a culture that values diversity, inclusivity, and teamwork. We believe in fostering an environment where everyone feels empowered to contribute their best work. Our company culture is built on the foundation of our purpose, and we're committed to making a positive impact in the communities we serve.

Why Join Us?

If you're a motivated and detail-oriented individual with a passion for healthcare, we encourage you to apply for this exciting opportunity. As a Prior Authorization Technician at CVS Health, you'll be part of a talented team dedicated to making a difference in the lives of our patients. Even if you feel you're not a perfect match, we'd still love to hear from you. We're looking for great people to join our friendly team!

Don't miss this chance to propel your career forward and join our team as a Prior Authorization Technician. Apply today and become part of a dynamic organization that's shaping the future of healthcare.

The application window for this opening is expected to close on November 4, 2024. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws.