Pharmacy Care Representative - Work From Home North Carolina

Position Summary

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. This is a WORK FROM HOME position available full‑time 40 hours per week, offering overtime during our business peaks and pays based on experience.

• Conduct inbound or outbound phone calls to patients regarding complex Specialty medication orders, benefits verification, and new patient enrollment.
• Coordinate and process requests for new and refill order shipments.
• Collect appropriate information needed to ensure insurance coverage for patient medication orders.
• Verify eligibility, prior authorization, and other reimbursement requirements prior to shipment.
• Assist in enrolling and tracking new customer referrals.
• Provide explanation of CVS/Specialty services to new customers.
• Transfer or escallate clinical questions and issues to the staff pharmacist for resolution.

• 1+ years of experience in a customer service role handling and resolving a high volume of complex customer needs over the phone.
• 1+ years of work experience with Windows-based applications like Microsoft Office (Outlook, Excel, Teams, Word), internet navigation, and email applications.
• 1+ years of computer keyboarding experience, skills, and aptitude.
• Must have a direct/hardwired internet connection to a modem/router within 7 feet of your computer and a minimum download speed of 100 mbs download and 10 mbs upload. WiFi and satellite are not permitted.
• A secure and private home workspace free from distractions is required.
• Must live in North Carolina.

• Prior healthcare work experience and familiarity with benefits, insurance, prescriptions, medical terminology.
• High School Diploma or equivalent work experience.

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The typical pay range for this role is $17.00 – $25.65 per hour. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.

Must live in North Carolina.

Comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. Includes medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources based on eligibility.