Remote Medicare Operations Specialist II

7500 Caremark PhC, L.L.C.; New York (NY); Hybrid; USD 48,712,000 - 89,687,000; Full time

Benefits offered by this job

Comprehensive benefits

Job summary

CVS Health is seeking a Representative II, Operations to support Medicare members, prescribers, and providers through phone and fax casework in a remote, full-time role.

You will process coverage requests, gather information, document activity, and ensure CMS timelines while collaborating with clinical pharmacists and teammates.

This position offers flexible shifts, comprehensive benefits, and the training needed to grow within a fast-paced, regulated health care environment.

Qualifications

• 6+ months customer service, healthcare, pharmacy, call center, or related experience.
• Typing ability of 30 WPM or greater.

Responsibilities

• Process incoming coverage-related requests via phone and fax.
• Accurately set up cases, review documentation, and apply work instructions.
• Read, analyze, and interpret business correspondence and Medicare regulations.

Skills

Customer service

Typing 30 WPM

Education

High School Diploma or GED

Tools

Claims platforms

Case management systems

Internal databases

Job description

CVS Health is seeking a Representative II, Operations to support Medicare members, prescribers, and providers through phone and fax casework in a remote, full-time role.

You will process coverage requests, gather information, document activity, and ensure CMS timelines while collaborating with clinical pharmacists and teammates.

This position offers flexible shifts, comprehensive benefits, and the training needed to grow within a fast-paced, regulated health care environment.