Remote Supervisor – RN – Medical Prior Authorization, TX

CVS Health

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Remote
TX – Work from home
Full time
Posted Today
R0232780

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.

Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.

 

 

 

Position Summary

Come join our team of dedicated colleagues who support medical benefit prior authorizations! The supervisor is responsible for providing operational leadership and direction for the Aetna Medical Specialty Prior Authorization business unit. The position has a primary focus on ensuring compliance with all state, federal, and client regulations and accreditations. Other key areas of focus include coaching and mentoring employees; quality improvement;  innovation and reduction of unit costs. Responsibilities of the position include daily operational oversight, staff development, budget management, audit readiness, clinical staff training, and policy and procedure documentation. The leader will work with internal partners and the Medical prior authorization staff to service physicians, pharmacists and patients within service level agreements, as well as provide clinical expertise and support. Facilitates regular staff meetings to ensure all team members are fully versed in ongoing as well as new work area processes, policies and procedures, and expectations. The supervisor will have accountability for completing tasks aimed to successfully achieve the financial, operational, and quality objectives of the work area.

 

This is a remote position. Candidates can live in EST, CST, MT.

Required Qualifications

In depth knowledge of medical specialty drugs

3-5+ years of clinical experience with immunotherapy, monoclonal antibodies, cellular therapy products.

Must have active and unrestricted compact licensure in state of residence

Preferred Qualifications

In depth knowledge of oncology medications

Previous leadership experience

Experience collaborating with interdisciplinary teams to achieve patient outcomes

Organize, prioritize, and manage multiple tasks on a regular basis

Excellent oral and written communication skills and interpersonal skills

Customer Service internally and externally

Adaption to Change Management

Self-motivated with a strong attention to detail

Ability to work in a high production, time sensitive environment

Demonstrates resourcefulness in problem-solving

Displays confidence in the ability to learn complex material

Computer Knowledge including Microsoft office products, Windows based operations, data entry and clinical systems

Flexibility with working a rotating schedule including weekends and holidays

Regular and predictable attendance

Education

Bachelor’s degree or Associates degree with equivalent experience required

 

 

Pay Range

The typical pay range for this role is:

 

$60,522.80 – $129,600.00

 

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.  The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.  This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities.  The Company offers a full range of medical, dental, and vision benefits.  Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees.  The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners.  As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.  

For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits

 

 

 

We anticipate the application window for this opening will close on: 06/07/2024