Position Summary:As a Therapy Representative, you will be a key member of a Specialty Pharmacy by enhancing our members experience within their specific health plan. The purpose of this Adherence role is to provide expertise and customer service to our valued MS members or providers relating to enrollment, refilling of prescription orders, discussing benefits, and any/all other questions in regards to their health plan.
The primary responsibility of the Therapy Adherence Liaison role is to act as a patient advocate in addressing patient concerns to drive adherence and compliance. This candidate in this position will coordinate with sales, CRU, reimbursement and operations to manage the patient medication needs. Adherence Liaisons will be required to triage issues to the appropriate departments and update the patients accordingly. Proactively Communicate Compliance/Adherence related concerns to patients to mitigate disruption in patient therapy. Therapy Adherence Liaisons are considered retention specialists to help ensure patient adherence and prescription compliance going forward.
Initiates communications (multiple phone calls) with patients to resolve any CVS Health related concern related to patient medication needs. Read notes in preparation of call to determine possible problems/solutions.
Determine reasons patient is not compliant with therapy and offer solutions to assist in ongoing adherence
Coordinate between departments to bring patients back into compliance
Respond to internal inquiries via phone, email and/ or facilitate conference calls with appropriate departments as needed. Reporting requirements to various leaders on activity/results.
Initial responsibility for Prior Authorization and Expiring prescription management including collating data and providing to the medical offices/centers as requested. Once refill reactivated, the refill team handles future orders (unless adherence is disrupted again).
This position does have a Work From Home option that is strongly preferred. You will need to meet the requirements of Work From Home to be eligible. Required Qualifications:
1 + years experience as a Patient Service Representative or similar role in the healthcare industryPreferred Qualifications:Two years experience as a Customer Service Representative or similar role in the healthcare industry
Education:High School and/or equivalent experience Business Overview:
CVS Health, through our unmatched breadth of service offerings, is transforming the delivery of health care services in the U.S. We are an innovative, fast-growing company guided by values that focus on teamwork, integrity and respect for our colleagues and customers. What are we looking for in our colleagues? We seek fresh ideas, new perspectives, a diversity of experiences, and a dedication to service that will help us better meet the needs of the many people and businesses that rely on us each day. As the nation’s largest pharmacy health care provider, we offer a wide range of exciting and fulfilling career opportunities across our three business units – MinuteClinic, pharmacy benefit management (PBM) and retail pharmacy. Our energetic and service-oriented colleagues work hard every day to make a positive difference in the lives of our customers.
CVS Health is an equal opportunity employer. We do not discriminate in hiring or employment against any individual on the basis of race, ethnicity, ancestry, color, religion, sex/gender (including pregnancy), national origin, sexual orientation, gender identity or expression, physical or mental disability, medical condition, age, veteran status, military status, marital status, genetic information, citizenship status, unemployment status, political affiliation, or on any other basis or characteristic prohibited by applicable federal, state or local law. CVS Health will consider qualified job candidates with criminal histories in a manner consistent with federal, state and local laws. CVS Health will not discharge or in any other manner discriminate against any Colleague or applicant for employment because such Colleague or applicant has inquired about, discussed, or disclosed the compensation of the Colleague or applicant or another Colleague or applicant. Furthermore, we comply with the laws and regulations set forth in the following EEO is the Law Poster: EEO IS THE LAW
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CVS Health does not require nor expect that applicants disclose their compensation history during the application, interview, and hiring process.
For inquiries related to the application process or technical issues please contact the Kenexa Helpdesk at 1-855-338-5609. For technical issues with the Virtual Job Tryout assessment, contact the Shaker Help Desk at 1-877-987-5352. Please note that we only accept resumes via our corporate website: https://jobs.cvshealth.com/