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Representative II, Operations at CVS Health - ApplyBlast

Representative II, Operations

CVS Health

21 days ago

3.2 on Glassdoor

Remote

Full Time

Medior

0 applicants

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About this role

This role supports Medicare members, prescribers, and providers by processing coverage-related requests across phone and fax channels. The position involves accurate case setup, review, outreach, and documentation to ensure timely resolution in compliance with Medicare guidelines and CMS-mandated timelines. It requires strong attention to detail and professional communication skills within a highly regulated, fast-paced environment.

Responsibilities

Process coverage-related requests via phone and fax channels
Conduct outbound calls to members and providers for information gathering
Ensure accurate documentation and compliance with CMS-mandated timelines

Skills

About CVS Health

cvshealth.com

Headquarters

Woonsocket, Rhode Island, United States

Company Size

10001+ employees

Founded

1963

View Profile

CVS Health is America's leading health solutions company, providing integrated services across retail pharmacy (CVS Pharmacy), pharmacy benefits management (CVS Caremark), and health insurance (Aetna). The company offers pharmacy services, health plans, clinical care (including MinuteClinic), and health-and-wellness programs for consumers, employers, and government payers. By combining a large national retail footprint with claims processing, care management, and clinical services, CVS Health aims to coordinate care, lower costs, and improve health outcomes. Businesses and consumers use its solutions for medication management, plan administration, and in-person and virtual care.