Senior Representative Clinical Support- Fully Remote

Job Description
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.

Pay Range
The typical pay range for this role is:
Minimum: 18.50
Maximum: 33.65

Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will take into account a wide range of factors, including location.

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 8pm

COVID Requirements

COVID-19 Vaccination Requirement
CVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated.

You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.

Preferred Qualifications
* Superior PC skills in Windows based applications
* Superior CAS Admin skills
* Excellent verbal and written communication skills
* Superior soft skills * Able to work in a high-paced work environment
* Able to work in a team environment
* Ability to positively deal with changes and promote a positive work environment
* Advanced math skills
* Prefer at least 2 years of experience in a complex, high impact customer service role

Education
A verifiable High School diploma or GED is required.

Business Overview
Bring your heart to CVS Health
Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver.

Our Heart At Work Behaviors support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.
We strive to promote and sustain a culture of diversity, inclusion and belonging every day.
CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
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