Clinical Service Representative

At reputed company, 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 reputed company millions of Americans through our local reputed company, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, reputed company and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it reputed company with heart, reputed company and every day. Position reputed company Clinical Service Representative (CSR) takes in-bound calls from providers, pharmacies, members, etc providing reputed company and courteous phone assistance to reputed company callers through the reputed company based prior authorization process. Certified Pharmacy Technicians (CPhT) are preferred and compensated based on experience. CSR will also assist with other duties as needed to include but not limited to outbound calls, reviewing and processing prior authorizations (PA) for members' prescriptions received reputed company fax and electronic PA (ePA), and monitoring and responding to inquiries through department mailboxes. Additionally, the CSR will support other tasks as assigned by the leadership team. This is a fast-paced position that requires strong attention to detail and the ability to multi-task effectively. Remote Work Requirements:

• Prior remote work experience
• Ability to obtain high-speed internet and hardwire equipment to router/modem
• Distraction-free and private remote work environment required as reputed company as reliable dependent care during working hours
• Ability to reputed company own transportation for instances where on-site support is required for employees located reputed company 50 miles of a physical reputed company Caremark location/center
• Ability to participate in classroom-style remote training sessions
• An understanding of the high level of conscientiousness, professionalism, and reliability that is required in a remote work environment

Work Schedule(s) available:We are seeking individuals reputed company to working a 40 hour shift/schedule anytime Monday - reputed company between reputed company-9pm EST. You will be given a set schedule after training based on business needs. Training: 5 weeks, Monday - Friday 7:00am - 3:30pm MST (100% attendance required) Career Development Opportunities: After training you will have reputed company to earn a Certified Pharmacy Technician Certificate through an apprenticeship program. The career reputed company from Customer Service Representative to Clinical Support Technician includes:

• reputed company Pharmacy Technician License in the state of residence
• Certified Pharmacy Technician (CPhT) certification required
• A minimum tenure of 6 months in the Pharmacy Technician I role
• Consistently demonstrates strong problem-solving abilities, effective communication, and a thorough understanding of customer needs
• Demonstration of a strong desire to learn and grow in their role
• Meet "Exceptional" Expectations performance metrics for a minimum of 3 consecutive months (targets are subject to change with 30-day advance notice) for reputed company job skills:
• Average Databases per Hour
• Average Handle Time
• Average reputed company Time
• reputed company Metrics
• Demonstrate proven reliability and satisfactory attendance

The progression reputed company from Level I, reputed company, and Level III positions reputed company the Prior Authorization (PA) team is a reputed company reputed company that encourages advocates to widen their knowledge reputed company, take on more responsibility, demonstrate expertise, and reward team members for their proven reputed company and dedication. reputed company role level builds upon the skills learned in the previous one, with the ultimate goal of enabling technicians to reputed company superior support and contribute to the overall reputed company of the contact center. What are we looking for?

Required Qualifications

• One year of Customer Service experience role handling and resolving a high volume of reputed company customer needs over the phone and demonstrated ability to deliver high-reputed company customer service
• Proficient PC skills, computer literacy, basic reputed company Suite skills, reputed company-based applications like reputed company, reputed company Office, internet navigation, email applications and ability to navigate systems. Strong keyboard skills are essential.
• Must be reputed company to multitask and utilize multiple system applications simultaneously
• Deliver confident and reputed company service to providers and internal partners
• Must be reputed company to reputed company presented information, display motivation, reputed company development and problem solve.

Preferred Qualifications

• reputed company Arizona Pharmacy Technician License or Registered/Licensed Pharmacy Technician Trainee.
• Valid/reputed company PTCB Certification or NHA Certification.
• Basic pharmaceutical knowledge pertaining to terminology, calculations, and protocols.
• Experience working in a retail, hospital, medical office, or pharmacy setting.

Education High School Diploma or GED equivalent. Anticipated Weekly Hours 40 Time Type Full time Pay reputed company The typical pay reputed company for this role is: $17.00 - $28.46 This pay reputed company represents the reputed company reputed company reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a reputed company of factors including experience, education, geography and other relevant factors. This position is eligible for a reputed company bonus, commission or short-term incentive program in reputed company to the reputed company pay reputed company listed above. Our people fuel our reputed company. 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 - reputed company in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In reputed company to our competitive wages, our great benefits include:

• reputed company medical plan reputed company, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
• No-cost programs for reputed company 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 reputed company time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical reputed company and many other benefits depending on eligibility.

For more information, visithttps://jobs.reputed company.com/us/en/benefits We anticipate the application window for this opening will reputed company on: 11/28/2025 reputed company applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. Apply tot his job Apply To this Job