CVS Health · 14 hours ago
Representative I, Clinical Services
United States
Full-time
Remote
New Grad, Entry Level
$17/hr - $28.46/hrCVS Health is dedicated to building a world of health around every individual, focusing on connected and compassionate health experiences. The Representative I, Clinical Services role involves handling inbound calls and providing assistance through the prior authorization process while maintaining accurate documentation and supporting the pharmacist team.
Health CareMedicalPharmaceuticalRetailSales
Responsibilities
Takes in-bound calls from providers, pharmacies, and members etc, providing professional and courteous phone assistance to all callers through the criteria based prior authorization process
Maintains complete, timely and accurate documentation of reviews
Transfers all clinical questions, escalations and judgement calls to the pharmacist team
Assist with other duties as needed to include but not limited to: outbound calls, reviewing and processing Prior Auth’s received via fax and ePA, monitoring and responding to inquiries via department mailboxes and other duties as assigned by the leadership team
Qualification
Required
Ability to apply basic computer skills
Knowledge of Microsoft Office Suite: Excel and Word required; Access, Outlook, PowerPoint, Visio preferable
Keyboard skills are essential
Must be able to multitask and utilize multiple system applications simultaneously
Basic pharmaceutical knowledge pertaining to terminology, calculations, and protocols
Preferred
Prior authorization experience
Must be able to utilize available resources independently and provide high quality work
Must be able to absorb presented information, display motivation, seek development and problem solve
Ability to adapt and change with workflow and shifting priorities
Must possess excellent written, verbal, grammar, and listening communication skills
Must be able 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)
Associate Degree or Bachelor's Degree
Benefits
Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
Company
CVS Health
CVS Health is a health solutions company that provides an integrated healthcare services to its members.
Founded in 1963
10001+ employees
Funding
Current Stage
Public CompanyTotal Funding
$4BKey Investors
Michigan Economic Development CorporationStarboard Value
2025-08-15Post Ipo Debt· $4B
2025-07-17Grant· $1.5M
2019-11-25Post Ipo Equity
Leadership Team
David Joyner
President and Chief Executive Officer, CVS Health
Chandra McMahon
SVP & CISO
Recent News
2026-01-25
Company data provided by crunchbase