Prior Authorizations & Appeals Coordinator

r 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.

Work from home - open nationwide

Operating times - 8:00am - 8:00pm CST, Monday - Friday

Required Qualifications

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 Qualifications

Minimum of 6 months to a 1 year experience in Data Entry. Preferred: 1-year healthcare industry related experience (hospital, managed care, physician office, PBM etc).

Preferred knowledge of prescription drug products, dosage forms and usage. Medical / pharmacy terminology background.

Education

Verifiable High School Diploma, GED, or equivalent

Pay Range

The typical pay range for this role is:

$17.00 - $28.46

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company's 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off ("PTO") or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.

For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits

We anticipate the application window for this opening will close on: 10/14/2024

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.