Cdr Case Review
Location: Mount Prospect, Illinois
Description: CVS Caremark is in need of Cdr Case Review right now, this career will be delegated in Illinois. Further informations about this career opportunity kindly read the description below. Job Category: Pharmacy Technician
Clinical Licensure Required : Pharmacy Technician
Job Type: Full Time Position Summary:
This position provides processing and communication of ! specialty prior authorization (PA) cases reviewed by the Case Review Unit for Specialty Guideline Management Programs.
- This position is also responsible for computer system data entry, data management and reporting.
- This position collaborates with physician office staff as well as specialty customer service, specialty benefits verification, specialty pharmacy operations and account team departments to communicate PA disposition.
- Maintain a clear understanding of each client's policies, procedures and individual needs.
- Responsible for following up with pharmacies and/or clients whenever issues have been resolved.
- Collect accurate information and use clear documentation.
- Work with teammates, management staff, pharmacists, and other resources to solve any PA related issues.
- Assist pharmacies and other dept in resolving a variety of daily processing obstacles or escalated issues requiring problem solving skills ! and the ability to communicate solutions.
- Other respo! nsibilities involve assisting with training, assisting with SOP and Work Instruction development, assisting QC team, and identifying areas to streamline systems and processes.
- This position also supports departmental leadership in identifying issues, concerns and trends within the workflow process or within the staff that need to be addressed at a higher level resulting in optimal program performance and outcomes.
- This position will utilize strong communication skills, both written and verbal, to ensure thorough distribution, understanding and execution of necessary messages to internal and external parties. Required Qualifications:
Board certified pharmacy technician (CPhT). Previous health care experience and/or Managed Care experience preferable. Must have knowledge of basic medical terminology and ICD9 codes. Must be computer literate with knowledge of Microsoft Excel, Word, Power Point. MS Access and/or Visio experience is preferable. Education:
Verifiable High School diploma or GED is required. Business Overview:
CVS Caremark, through our unmatched breadth of service offerings, is transforming the delivery of health care services in the U.S. We are an innovative, fast-growing company guided by values that focus on teamwork, integrity and respect for our colleagues and customers. What are we looking for in our colleagues? We seek fresh ideas, new perspectives, a di! versity of experiences, and a dedication to service that will help us b! etter meet the needs of the many people and businesses that rely on us each day. As the nation’s largest pharmacy health care provider, we offer a wide range of exciting and fulfilling career opportunities across our three business units â€" MinuteClinic, pharmacy benefit management (PBM) and retail pharmacy. Our energetic and service-oriented colleagues work hard every day to make a positive difference in the lives of our customers.
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If you were eligible to this career, please email us your resume, with salary requirements and a resume to CVS Caremark.
Interested on this career, just click on the Apply button, you will be redirected to the official website
This career starts available on: Thu, 21 Nov 2013 14:21:55 GMT