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Urgent Representative

CVS Health Rhode Island ,RI
  • Expired: over a month ago. Applications are no longer accepted.
Job Description

PHARMACY APPEALS REPRESENTATIVE

In this role, you will be responsible for:
• Utilizing multiple software systems to complete Medicare appeals case reviews
• Meeting or exceeding government mandated timelines
• Complying with turnaround time, productivity and quality standards
• Conveying resolution to beneficiary or provider via direct communication and professional correspondence
• Acquiring and maintaining basic knowledge of relevant and changing Med D guidance

Required Qualifications:
• Accountable and results driven
• Critical thinker/problem solver
• Receptive to constructive feedback and flexible in adapting to change
• Ability to effectively plan, prioritize, and organize time and workload
• Ability to execute successfully in a deadline-oriented, fast-paced, highly-regulated environment
• Proficient in navigation of multiple computer applications
• Proficient use of keyboard, mouse and ability to navigate 2 workstation monitors
• Ability to type more than 30 WPM

Preferred Qualifications:
• At least two years of general business experience that includes problem resolution, business writing, quality improvement and customer service
• Six months of PBM/pharmaceutical related work strongly desired

Education:
• High School Diploma or GED required
• Bachelors degree in related field or equivalent work experience preferred

NOTE: The initial plan is to work remote with the intention of working on-site in the future.

redacted

Address

Rhode Island, RI
USA