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Specialty Benefit Verification Representative -Generics Team

Work from home Full-time role Hiring

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 CVS Specialty is looking for a high-energy healthcare professional to join our Generic Conversion team as a Benefit Verification Specialist! This rewarding opportunity allows you to work closely with our dedicated Generic Team's Pharmacists and Pharmacy Service Representatives. You will work with insurance providers to verify coverage for generic drugs for cost saving opportunities for our patients. We believe that Benefit Verification Specialists are a key part of creating a positive experience for our patients. This is dynamic and fast-paced role that will require an understanding of insurance carriers and concepts including drug cards, knowledge of government and patient assistance programs.

Key Responsibilities

  • Verify insurance coverage and perform benefit investigation.
  • Obtain prior authorization for both new and existing patients in order to process patient prescription orders in a timely manner.
  • Demonstrating excellent customer service to patients, healthcare professionals and insurance carriers.

Required Qualifications

  • 2-3 years of direct work experience with Pharmacy Benefit Manager (PBM) knowledge.
  • Analytical and problem solving skills.
  • Attention to detail.
  • Experience working in Microsoft Office, specifically Excel, Outlook and Word.

Preferred Qualifications

  • Experience in a production environment.
  • Possess strong teamwork and organizational skills.
  • Demonstrated ability to handle multiple assignments competently, accurately and efficiently.
  • Must have met or exceeded 12 months in your current role.
  • Strong and effective communication.
  • Possess strong teamwork and organizational skills.
  • Demonstrated ability to handle multiple assignments
  • competently through use of time management, accurately and efficiently.

Education

  • High School Diploma or GED Equivalent required, Bachelor's Degree preferred

Anticipated Weekly Hours 40 Time Type Full time Pay Range The Typical Pay Range For This Role Is $17.00 - $28.46 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 offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments. We anticipate the application window for this opening will close on: 05/28/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. Apply tot his job Apply To this Job

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