Job Description
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.
**Position Summary**
- Processes prior authorization requests received by phone, fax, or electronically, and utilizes various computer resources, existing criteria, and medication guidelines to perform clinical research to support prior authorization reviews.
- Proactively completes prior authorization approvals and denials that are due to expire and maintains complete, timely, and accurate documentation.
- Reviews potential prior authorization denial language to ensure NCQA requirements are met.
- Follows prior authorizatio...
**Position Summary**
- Processes prior authorization requests received by phone, fax, or electronically, and utilizes various computer resources, existing criteria, and medication guidelines to perform clinical research to support prior authorization reviews.
- Proactively completes prior authorization approvals and denials that are due to expire and maintains complete, timely, and accurate documentation.
- Reviews potential prior authorization denial language to ensure NCQA requirements are met.
- Follows prior authorizatio...
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