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UMNC (Prior Authorization WFH anywhere in the US) ID-10248

CVS Health is seeking a dedicated and detail-oriented UMNC (Prior Authorization) professional to join our team in a remote work-from-home position, available anywhere within the United States. In this role, you will be responsible for reviewing and processing prior authorization requests, ensuring compliance with medical guidelines, and collaborating with healthcare providers to facilitate timely and accurate decisions. You will play a key role in supporting our mission to improve the health and well-being of our members. 

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Responsibilities include reviewing and assessing medical records, ensuring proper documentation, making decisions regarding coverage based on clinical criteria, and working closely with other healthcare professionals. Requirements include a current RN, LPN, or other medical licensure, previous experience in a similar prior authorization or clinical role, strong communication skills, and the ability to work independently. Benefits include competitive pay, 401(k) matching, paid time off, employee discounts, wellness programs, and career development opportunities. Health Insurance is provided with options including medical, dental, and vision coverage. Why Join Us? At CVS Health, we offer a dynamic work environment with opportunities for growth and development. You will be part of a company that values diversity and inclusion, and you’ll contribute to meaningful work that impacts the lives of millions. How to Apply: Interested candidates can apply by submitting their resume through our career portal at CVS Health Careers. Join us and make a difference today!
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Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

2. HOW DO YOU USE THE DIFFERENT COMMUNICATION TOOLS IN DIFFERENT SITUATIONS?

When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

7. HOW DO YOU ORGANIZE FILES, LINKS, AND TABS ON YOUR COMPUTER?

Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

8. HOW TO PRIORITIZE WORK?

The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

9. HOW DO YOU PREPARE FOR A MEETING AND PREPARE A MEETING? WHAT DO YOU SEE HAPPENING DURING THE MEETING?

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10. HOW DO YOU USE TECHNOLOGY ON A DAILY BASIS, IN YOUR WORK AND FOR YOUR PLEASURE?

This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...

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