HMSA RPh Advisor - Hawaii

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Position Summary As an RPh Advisor you will be directly supporting Medicare Part D and B members and providers with requests related to their pharmacy benefits, with an emphasis in working HMSA dedicated clients, Part D and Part B.
You will be responsible for taking inbound calls for HMSA Part D and B.
You will be responsible for ensuring cases are accurately set up for our members, review clinical information for decisioning the request, performing outreach to providers for more information when needed, and ensuring accurate decisions that comply with compendia and Medicare guidance and timelines.
This is a great opportunity to initiate a career with a leading healthcare company by reviewing information and completing timely and accurate documentation of all Medicare Part D and B requests, in compliance with Medicare guidelines, while promoting a best-in-class service experience.
Required Qualifications Resident of Hawaii Active pharmacist license Current Pharmacist experience in HMSA workspace Dedicated home workspace needed that is HIPAA compliant Stable personal high-speed internet and ability to hard-wire into company computer Preferred Qualifications Preferred PBM experience, ability to utilize multiple software systems, simultaneously with a 2-screen workstation setup Education Bachelor's Degree required or Pharm.
D.
and active pharmacist license Pay Range The typical pay range for this role is: $84,357.
00 - $181,700.
00 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 We anticipate the application window for this opening will close on: 03/17/2024 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 ColleagueRelations@CVSHealth.
com 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.