CVS Health
Remote/Telecommute
Sr. Pharmacy Technician - Case Review - FULL REMOTE
Posted over 1 month ago
Job Description
Job Description
This position will be responsible for efficient and accurate work management and timely prioritization of Specialty medication prior authorization referrals reviewed by the Case Review Unit for the Specialty Guideline Management Programs. The role provides support to the Prior Authorization Department in meeting client expectations regarding efficiency, service levels, privacy maintenance and quality of decision-making. It is Responsible for maintaining compliance with ERISA, CMS, and client specific requirements. The responsibilities included will be ongoing monitoring of staff performance metrics, responding to required client QA reports, and provide recommendations for operational improvements. This position will also require providing direction and maintaining the responsibilities of Technician levels I, II, and III. This position will also act as a conduit between the Case Review Unit and the Specialty Guideline Management Clinical Team for providing updated program protocols.
Required Qualifications
Active Pharmacy Technician License/Certification
Preferred Qualifications
* Healthcare Experience and/or Managed Care experience
* Experience working independently
* Call Center Experience
* Bachelor or Associate Degree
Education
Verifiable High School Diploma or GED
Business Overview
At CVS Health, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.
This position will be responsible for efficient and accurate work management and timely prioritization of Specialty medication prior authorization referrals reviewed by the Case Review Unit for the Specialty Guideline Management Programs. The role provides support to the Prior Authorization Department in meeting client expectations regarding efficiency, service levels, privacy maintenance and quality of decision-making. It is Responsible for maintaining compliance with ERISA, CMS, and client specific requirements. The responsibilities included will be ongoing monitoring of staff performance metrics, responding to required client QA reports, and provide recommendations for operational improvements. This position will also require providing direction and maintaining the responsibilities of Technician levels I, II, and III. This position will also act as a conduit between the Case Review Unit and the Specialty Guideline Management Clinical Team for providing updated program protocols.
Required Qualifications
Active Pharmacy Technician License/Certification
Preferred Qualifications
* Healthcare Experience and/or Managed Care experience
* Experience working independently
* Call Center Experience
* Bachelor or Associate Degree
Education
Verifiable High School Diploma or GED
Business Overview
At CVS Health, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.
We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, sex/gender, sexual orientation, gender identity or expression, age, disability or protected veteran status or on any other basis or characteristic prohibited by applicable federal, state, or local law. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.
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