[Hiring] Coordinator I, Prior Authorizations OPS @CVS Health

Role Description

Coordinator I, Prior Authorization & Appeals will be responsible for performing non-clinical activities and functions in accordance with policies and procedures, under the supervision of the Clinical Supervisor. Responsible for reviewing and maintaining compliance with ERISA, CMS, Medicaid, and client specific requirements. Works as part of the team to meet business unit objectives.

Qualifications

• 6 months to 1 year experience in Data Entry.
• Proficient in Windows applications (Word and Excel).
• Problem solving skills, analytical ability.
• Strong written communication and interpersonal skills. Minimum 25-30 WPM.
• Detail oriented with excellent organizational skills.
• Preferred knowledge of prescription drug products, dosage forms and usage.
• Medical / pharmacy terminology background.

Requirements

• 1-year healthcare industry related experience (hospital, managed care, physician office, PBM etc).
• High School Diploma or equivalent GED.

Benefits

• Comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families.
• Medical, dental, and vision coverage.
• Paid time off.
• Retirement savings options.
• Wellness programs and other resources, based on eligibility.