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Sr Tech Prior Auth Appeals
CVS Health - Richardson, TX
Job Description The Senior Technician Prior Auth & Appeals will work a rotating call schedule throughout the day to support Clinical Services Representative I, II, and III with complex non-clinical or Prior Authorization questions or calls. Responsibilities include assisting supervisors with day to day tactical issues, handling escalated calls, training, coaching and other business...
Operations Supervisor
CVS Health - Lewisville, TX
Job Description An Operations Supervisor is a key leader supporting the CVS Store Management team in planning and driving store execution and performance while building consumer loyalty to CVS/pharmacy through a focus on excellent customer service. When there is no manager onsite, the Operations Supervisor leads the store and supervisory staff, ensures that store operations run smo...
Operations Manager
CVS Health - Dallas, TX
Job Description The Operations Manager is a member of the Store Management team, and as such, fulfills the company purpose of helping people on their path to better health by driving store execution and performance while building consumer loyalty to CVS/pharmacy through a focus on excellent customer service. Under the supervision of the Store Manager, the Operations Manager will ma...
Operations Supervisor
CVS Health - Frisco, TX
Job Description An Operations Supervisor is a key leader supporting the CVS Store Management team in planning and driving store execution and performance while building consumer loyalty to CVS/pharmacy through a focus on excellent customer service. When there is no manager onsite, the Operations Supervisor leads the store and supervisory staff, ensures that store operations run smo...
Tech I Prior Auth Appeals
CVS Health - Richardson, TX
Job Description Exciting opportunity to join a team of pharmacy experts as a Customer Service Representative. In this role, the Texas registered pharmacy technician will take in-coming calls from members and providers, providing professional phone assistance to all callers through the criteria based prior authorization process. The ideal candidate must maintain complete, timely, and a...
Operations Supervisor
CVS Health - Carrollton, TX
Job Description An Operations Supervisor is a key leader supporting the CVS Store Management team in planning and driving store execution and performance while building consumer loyalty to CVS/pharmacy through a focus on excellent customer service. When there is no manager onsite, the Operations Supervisor leads the store and supervisory staff, ensures that store operations run smo...
Quality Assurance Senior Analyst
CVS Health - Richardson, TX
Job Description The Sr Analyst, Quality Assurance (EDW PBM) will be responsible for: Excellent Verbal and Written communication skills. Provides expert input during requirements and design phases that assist in developing business solutions. Expert knowledge and hands on experience with Teradata SQL14.0 assistant. Expert and hands on knowledge of Informatica Power Center 9.5 and 9.6's...
Data Warehouse Technical Lead
CVS Health - Richardson, TX
Job Description As the Data Warehouse Sr Technical Lead, you are responsible for the application design & development for the PBMDW team. You are accountable for designing comprehensive solutions that meet business requirements and incrementally move the data warehouse to the future state. Extensive practical work experience required on writing ETL processes using In...
Operations Manager
CVS Health - Lewisville, TX
Job Description The Operations Manager is a member of the Store Management team, and as such, fulfills the company purpose of helping people on their path to better health by driving store execution and performance while building consumer loyalty to CVS/pharmacy through a focus on excellent customer service. Under the supervision of the Store Manager, the Operations Manager will ma...
Cdr I Prior Auth Appeals
CVS Health - Richardson, TX
Job Description The Clinical Services Coordinator will be responsible for performing non-clinical activities and functions in accordance with policies and procedures, under 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 objec...
Intake AgentPrior Auth
CVS Health - Richardson, TX
Job Description Call Center/Customer service environment The initial point of contact for Prior Authorization requests from members, providers, and other callers through the algorithm driven automated criteria based prior authorization process. Maintains complete, timely and accurate documentation of all approvals and denials. Non-yes/no and non-black and white criteria will be...
Senior Advisor, Application Development
CVS Health - Richardson, TX
Job Description Oversee life cycle processes (ex. design, analysis, and review) and test results within the application development area to ensure adherence to quality requirements. Ensure the solutions work. Responsible for the quality and cohesion of solution architecture components within PBM and RxClaim application, and their conformance to approved CVS Caremark IT standards and a...
Operations Manager
CVS Health - Dallas, TX
Job Description The Operations Manager is a member of the Store Management team, and as such, fulfills the company purpose of helping people on their path to better health by driving store execution and performance while building consumer loyalty to CVS/pharmacy through a focus on excellent customer service. Under the supervision of the Store Manager, the Operations Manager will ma...
Prior Authorization Intake Agent
CVS Health - Richardson, TX
Job Description As an Intake Agent you will be taking inbound calls from physician and members for the Specialty Guideline Management Programs for processing Prior Authorizations for Pharmacy & Medical Benefits using Novologix Systems. You will also be responsible for computer system data entry, data management and reporting. Additional duties will include collaborating with physician...
AS400 Application Developer - Senior Analyst
CVS Health - Richardson, TX
Job Description Utilize your technical skills to make an impact on the health of the people we serve. Join CVS Health, a Fortune 7 company. The AS400 Application Development Sr Analyst is responsible for the quality and cohesion of solution architecture components within PBM and RxClaim applications, and their conformance to approved CVS Health IT standards and procedures. The ...
