Full-Time

Credentialing Specialist

Posted on 1/6/2025

CVS Health

CVS Health

10,001+ employees

Comprehensive pharmacy and healthcare services

Healthcare
Consumer Goods

Compensation Overview

$17 - $28.46Hourly

+ Bonus + Commission + Short-term Incentive Program

Junior, Mid

Company Historically Provides H1B Sponsorship

Franklin, TN, USA

Category
Operations Consulting
Consulting
Required Skills
Customer Service
Requirements
  • Insurance Knowledge - Plus
  • Customer Service - 1-3 years of Experience
  • Strong Analytical Skills
  • Basic computer skills
  • Critical Thinking
  • Self Direction
  • Strong verbal and written communication skills.
Responsibilities
  • Process agent onboarding contracts.
  • Verify insurance licenses, add appointments.
  • Work with agents to ensure records are complete and validated.
  • Utilize various systems and websites to ensure accuracy.
  • Consults cross-functionally with other departments to influence and promote change.
Desired Qualifications
  • Proficient in Excel.
  • SQL experience a plus
  • High School Diploma/Associate's degree preferred

CVS Health operates a large network of retail pharmacies and walk-in medical clinics across the United States, providing a variety of health-related products and services. Their offerings include prescription medications, over-the-counter health products, and beauty items, as well as pharmacy benefits management and specialty pharmacy services. CVS Health's integrated business model allows them to serve individual consumers, businesses, and communities effectively, with a focus on improving health outcomes and reducing healthcare costs. Unlike many competitors, CVS Health combines retail pharmacy services with a pharmacy benefits manager and senior care services, making it a comprehensive solution for health management. The company's goal is to enhance access to quality care and support people in achieving better health.

Company Stage

Debt Financing

Total Funding

N/A

Headquarters

Woonsocket, Rhode Island

Founded

1963

Simplify Jobs

Simplify's Take

What believers are saying

  • Expansion of telehealth services allows CVS to reach more patients remotely.
  • Increased consumer interest in wellness boosts demand for CVS's health-related products.
  • The trend towards value-based care aligns with CVS's integrated healthcare approach.

What critics are saying

  • Legal challenges related to opioid prescriptions could harm CVS's reputation and finances.
  • The DOJ's intervention in a whistleblower lawsuit may increase legal costs for CVS.
  • The Horizon Organic Milk recall exposes potential vulnerabilities in CVS's supply chain.

What makes CVS Health unique

  • CVS Health operates over 9,600 retail pharmacies and 1,100 walk-in clinics nationwide.
  • The company integrates pharmacy benefits management with specialty pharmacy services for comprehensive care.
  • CVS Health offers tailored medication plans through personalized medicine and pharmacogenomics.

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Benefits

Health Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

401(k) Retirement Plan

Company Equity

Wellness Program

Professional Development Budget

Paid Vacation

Paid Holidays

INACTIVE