At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.
As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
Position Summary
The Rep I, Site of Care Support is responsible for reviewing and coordinating in-bound Site of Care referrals for infusion patients. They serve to support the Site of Care department by processing incoming referral received from the precertification department, communicating with, and supporting internal and external partners. Responsibilities include reviewing insurance benefits (both medical and pharmacy), claim history review, maintaining complete, timely, and accurate documentation of all referral requests in CRM, precertification vendor changes, communicating with the physician’s office, assisting with escalating issues to the clinical and leadership team(s) as needed.
Strong candidates will be those that demonstrate flexibility and experience working under pressure with an awareness of and ability to meet deadlines.
Required Qualifications
Excellent verbal and written communication and interpersonal skills; Ability to maintain patient confidentiality; Demonstrated sense of urgency with assignments; Ability to maintain confidentiality of information. Proficient computer skills and the ability to navigate in a Windows based environment; Ability to follow directions, as well as multi-task; Ability to quickly learn new computer applications; Seeks ways to collaborate and reach consensus with peers; Actively works to build strong working relationships; Able to customize messages and delivery to broader audiences; Demonstrated problem-solving ability and attention to detail.
Proficient in Microsoft Excel and Outlook
Self motivated
Proven organizational and time management skills
High accuracy and attention to detail
Preferred Qualifications
Healthcare/Pharmacy Experience
Knowledge of medical/pharmacy claims
Salesforce Experience
Education
H.S or Equivalent
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$17.00 - $25.65
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.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people
We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit https://jobs.cvshealth.com/us/en/benefits
We anticipate the application window for this opening will close on: 08/22/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
