Technician I, Prior Authorizations OPS

Job not on LinkedIn

🔥 0 minutes ago

🏄 California – Remote

🏄 California – Remote

💵 $17 - $31 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

⚙️ Operations

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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CVS Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1963

🏥 Healthcare

⚕️ Healthcare Insurance

🛒 Retail

Healthcare • Healthcare Insurance • Retail

CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.

📋 Description

• Take inbound calls and inbound faxes from providers, pharmacies, members, and other callers • Provide professional and courteous phone assistance through the criteria-based prior authorization process • Maintain complete, timely, and accurate documentation of reviews • Transfer clinical questions, escalations, and judgment calls to the pharmacist team • Make outbound calls as needed • Review and process prior authorizations received via fax and ePA • Monitor and respond to inquiries via department mailboxes • Perform other duties assigned by the leadership team

🎯 Requirements

• Able to apply basic computer skills • Knowledge of Microsoft Office Suite, including Excel and Word required • Access, Outlook, PowerPoint, and Visio preferable • Essential keyboard skills • Ability to multitask and utilize multiple system applications simultaneously • Basic pharmaceutical knowledge pertaining to terminology, calculations, and protocols • Ability to utilize available resources independently and provide high quality work • Ability to absorb presented information, display motivation, seek development, and problem solve • Ability to adapt and change with workflow and shifting priorities • Excellent written, verbal, grammar, and listening communication skills • Ability to deal with a diverse customer base, internal and external, in a friendly and confident manner • Ability to maintain confidentiality of PHI (Protected Healthcare Information) • High School Diploma or equivalent GED

🏖️ Benefits

• Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being • CVS Health bonus, commission or short-term incentive program in addition to base pay