Home
/
Comprehensive
/
Clinical Service Consultant
Clinical Service Consultant-July 2024
Work At Home
Jul 4, 2026
ABOUT CVS HEALTH
CVS Health is a healthcare innovation company. Together, we are helping people on their path to better health.
10,000+ employees
Healthcare
VIEW COMPANY PROFILE >>
About Clinical Service Consultant

  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 The Clinical Services Consultant fulfills the company purpose of helping people on their path to better health by driving quality execution of administrative support for Prior Authorization. The Clinical Services Consultant will be a Prior Authorization system Subject Matter Expert providing support for the Prior Authorization/Appeals Operational and Administrative teams. This position works closely with and fosters communications with internal and external departments including clinical development, product owners, CAS liaisons, Account Teams and Prior Authorization Operations to ensure a solid understanding of the programs being processed and implemented. In order to be successful in this role you will interact and collaborate with internal colleagues to identify opportunities to improve processes and drive efficiencies within the department as well as assist in leading meetings, creation and maintenance of work instructions, training, projects and activities related to PA systems. Consultants also work with a team of system trainers to provide consistent back end user support, assist in documentation and maintenance of user guides presentations and corrective action plans, provide system demos and help guide CAS users through the implementation process for Prior Authorization system tool. Required Qualifications

  Bachelor's Degree in any related field Verifiable High School Diploma, GED, or equivalent. Preferred Qualifications 3+ years of Pharmacy Benefit Management (PBM) prior authorization experience Preferred Qualifications Experience with PA system setup Experience with MS Excel, Word and PowerPoint Experience with CAS and/or MedHOK systems Experience with Prior Auth and Appeals activities Experience with previous project management. Education

  Verifiable High School Diploma, GED, or equivalent.

  Pay Range

  The typical pay range for this role is:

  $18.50 - $35.29

  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

  CVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated.

  You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.

  CVS Health is committed to recruiting, hiring, developing, advancing, and retaining individuals with disabilities. As such, we strive to provide equal access to the benefits and privileges of employment, including the provision of a reasonable accommodation to perform essential job functions. CVS Health can provide a request for a reasonable accommodation, including a qualified interpreter, written information in other formats, translation or other services through [email protected] If you have a speech or hearing disability, please call 7-1-1 to utilize Telecommunications Relay Services (TRS). We will make every effort to respond to your request within 48 business hours and do everything we can to work towards a solution.

Comments
Welcome to zdrecruit comments! Please keep conversations courteous and on-topic. To fosterproductive and respectful conversations, you may see comments from our Community Managers.
Sign up to post
Sort by
Show More Comments
SIMILAR JOBS
NCIS SQL Database Administrator | Top Secret clearance
Req ID: RQ193654 Type of Requisition: Regular Clearance Level Must Be Able to Obtain: Top Secret/SCI Public Trust/Other Required: None Job Family: Database Analysis/Design Skills: Microsoft SQL Server
Environmental Svcs Tech
Overview In 2020, united in a fierce commitment to deliver the highest quality care and exceptional patient experience, Virginia Mason and CHI Franciscan Health came together as natural partners to bu
Sr. Accountant
Description Robert Half is in search of a talented Senior Accountant to join an innovative company in the Wholesale Distribution industry based in the Philadelphia, Pennsylvania area. As the Senior Ac
Intern
Pay Rate $17.93 per hour Telecommute Status Onsite Announcement PRIDE Industries is a fast-paced company with a mission: To Create Jobs for People with Disabilities while providing high quality, value
Task Order Lead
Req ID: RQ193299 Type of Requisition: Regular Clearance Level Must Be Able to Obtain: Top Secret Public Trust/Other Required: NACI (T1) Job Family: Business Operations Skills: Communication,Metrics De
File Clerk
Description Robert Half is hiring a File Clerk for a growing Non-Profit industry company, so if you love organization and order and are a highly motivated self-starter, this may be an excellent career
Sales Support
Description We are inviting applications for the position of Sales Support, with our team based in Wilson, North Carolina, 27893, United States. The selected candidate will be vital in supporting sale
Receptionist
Description Are you an articulate, highly-skilled individual ready to join the hospitality industry? Robert Half is seeking a Receptionist for a short-term contract / temporary position based in the M
Security Officer - Data Center Part Time
Allied Universal®, North America’s leading security and facility services company, provides rewarding careers that give you a sense of purpose. While working in a dynamic, diverse and inclusive workpl
Security Officer - Retail - Full Time
Allied Universal®, North America’s leading security and facility services company, provides rewarding careers that give you a sense of purpose. While working in a dynamic, diverse and inclusive workpl
Copyright 2023-2026 - www.zdrecruit.com All Rights Reserved