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Pharmacy Claims Auditor

CVS Health - Scottsdale, AZ

Job Category: Audit Clinical Licensure Required : N/A Job Type: Full Time Position Summary: CVS Health is seeking a Pharmacy Claims Auditorto review pharmacy claims submitted through the CVS Health claims processingsystems. In this role, you will identify and rectify claims inaccuracies thatwould result in client overpayment. The resp...

Account Manager

CVS Health - Pittsburgh, PA

Job Category: Account Management Clinical Licensure Required : N/A Job Type: Full Time Position Summary: We are looking for client-focused individuals to join our Account Management Team! As an Account Manager, you will be responsible for day-to-dayclient support activities. This will include managing the resolution status of routine to complex req...

Pharmacy Services Supervisor

CVS Health - Mount Prospect, IL

Job Category: Pharmacy Technician Clinical Licensure Required : Pharmacy Technician Job Type: Full Time Position Summary: CVS Caremark is looking for a positive, energetic, inspirational leader to support the growth of our Pharmacy Services team. This Supervisor is responsible for the direct, daily supervision of pharmacy service representatives (PS...

Regional Loss Prevention Manager – Upper Marlboro MD

CVS Health - Upper Marlboro, MD

Job Category: Loss Prevention, Management Clinical Licensure Required : N/A Job Type: Full Time Position Summary: The Regional Loss Prevention Manager implements loss prevention objectives, and administers loss prevention programs. Provides assistance and training to the field operations teams to address specific loss prevention issues with an assig...

Pharmacy Technician – Specialty Mail Order

CVS Health - Redlands, CA

Job Category: Pharmacy Technician Clinical Licensure Required : Pharmacy Technician Job Type: Full Time Position Summary: CVS Caremark has an exciting opportunity for you as a licensed pharmacy technician at our closed door pharmacy in Redlands, CA. As a pharmacy technician in this role there will be a heavy emphasis on the reimbursement component ...

Pharmacist Clinical

CVS Health - Mount Prospect, IL

Job Category: Pharmacist Clinical Licensure Required : Pharmacist Job Type: Full Time Position Summary: Does the idea of working for a Fortune 10 company and putting your Clinical Pharmacist skills to great use interest you? This may be the opportunity you've been looking for! The Clinical Pharmacist conducts collection of appropriate clin...

Claims Processor

CVS Health - Scottsdale, AZ

Job Category: Compliance, Medicaid, Medicare Clinical Licensure Required : N/A Job Type: Full Time Position Summary: CVS Health is looking for experienced Claims Processors to join our fast-paced Claims Department. As a Claims Processor, you will be responsible for accurate and efficient adjudication of Medicare Part D paper claims from electronic i...

Pharmacy Supervisor – Specialty Pharmacy (Infused Therapies)

CVS Health - Mount Prospect, IL

Job Category: Pharmacist Clinical Licensure Required : Pharmacist Job Type: Full Time Position Summary: CVS Health has an exciting opportunity for a Pharmacist Supervisor to join our facility in Mount Prospect, IL. As the Pharmacist Supervisor you will have the ability to provide supervision of pharmacists and nurses and other pharmacy se...

Oncology Pharmacist – Specialty Mail Order

CVS Health - Mount Prospect, IL

Job Category: Pharmacist Clinical Licensure Required : Pharmacist Job Type: Full Time Position Summary: CVS Specialty Pharmacy has an exciting opportunity for a Board Certified Oncology Pharmacists in our mail service pharmacy in the Mount Prospect area. The primary responsibility of the Certified Oncology Pharmacist is to ensure accuracy...

Reporting Analyst

CVS Health - Scottsdale, AZ

Job Category: Analytics, Medicare Clinical Licensure Required : N/A Job Type: Full Time Position Summary: As a Reporting Analyst, you will support the Medicare Part D (Med D) Coverage Determinations and Appeals (CD&A) team with client and operational metrics reporting. In this role, you will be responsible for manipulation of data and cr...

Prior Authorization Technician

CVS Health - Solon, OH

Job Category: Pharmacy Technician Clinical Licensure Required : Pharmacy Technician Job Type: Full Time Position Summary: As a Prior Authorization Technician you will support the Coverage Determinations and Appeals Department (CD&A) with monitoring the processing of prior authorizations and drug benefit exception requests. In this Prior Authorizatio...

Supervisor Customer Care

CVS Health - Lee's Summit, MO

Job Category: Call Center, Management Clinical Licensure Required : N/A Job Type: Full Time Position Summary: Provides ongoing supervision to Customer Service Representative staff as well as evaluates performance, interviews, hires, and manages a staff of approximately 25 CCRs. Responsibilities includes monitoring quality of services via our B...

Claims Adjudication Analyst

CVS Health - Woonsocket, RI

Job Category: Finance Clinical Licensure Required : N/A Job Type: Full Time Position Summary: As a Claims Adjudication Analyst, you will be responsible for ensuringthat all required third party settings are processed accurately and in a timelyfashion for new and existing third party plans into the retail pharmacyapplication. Additionally, the Claims...

Supervisor Nurse Clincal Ops

CVS Health - Greensboro, NC

Job Category: Nurse Clinical Licensure Required : Registered Nurse Job Type: Full Time Position Summary: The Nurse Supervisor Clinical Operations is responsible for supervision and evaluation of assigned employees. Responsibilties include: * Supervise and evaluate daily activities of assigned Clinical Operations sta...

Administrative Assistant

CVS Health - Florham Park, NJ

Job Category: Information Systems Clinical Licensure Required : N/A Job Type: Full Time Position Summary: As an Administrative Assistant, you will be Oversee all administrative tasks including travel arrangements, correspondence distribution and directing telephone calls. Handle incoming and outgoing mail/faxes. The Administra...