by Terrance Ellis | Dec 18, 2025 | Uncategorized
Help patients get access to the therapies and devices they need by handling benefits investigations, prior auth support, and payer follow-up with precision. If you’re detail-obsessed, calm on the phones, and know your way around insurance forms and healthcare workflows, this is a clean remote lane.
About CareMetx
CareMetx provides hub services, technology, and data to support the patient journey for pharmaceutical, biotech, and medical device innovators. They specialize in navigating reimbursement and access so patients can receive specialty products without unnecessary delays. This role supports reimbursement operations from intake through prior authorization.
Schedule
- Remote
- Must be flexible on schedule and hours
- Overtime may be required at times
- Weekend work may be required to meet business demands
What You’ll Do
⦁ Collect and review patient insurance benefit information (within program SOP authorization)
⦁ Support benefit investigations, prior authorization intake, and call triage for provider accounts
⦁ Help physician offices and patients complete and submit insurance forms and program applications
⦁ Submit prior authorization forms to third-party payers, track requests, and follow up to push decisions forward
⦁ Document provider, payer, and client interactions accurately in the CareMetx Connect system
⦁ Maintain frequent phone contact with provider reps, payer customer service, and pharmacy staff
⦁ Escalate complaints appropriately and report reimbursement trends or delays to your supervisor
⦁ Ensure required documentation is gathered to expedite authorizations (demographics, referrals, NPI, referring physician info, etc.)
⦁ Coordinate with internal teams as needed and report Adverse Events (AE) per training and SOP
What You Need
⦁ High School Diploma or GED
⦁ 1+ year experience in specialty pharmacy, medical insurance, physician office, healthcare setting, or related environment
⦁ Strong written and verbal communication with customer-service discipline
⦁ Detail-driven organization, time management, and follow-through
⦁ Working knowledge of pharmacy and medical benefits (global understanding of commercial and government payers is a plus)
⦁ Proficiency with Microsoft Excel, Outlook, and Word
⦁ Ability to work independently, problem-solve, and handle moderate-scope issues within SOPs
Benefits
⦁ Salary range: $30,490.45 – $38,960.02
⦁ Mission-driven work supporting patient access to specialty products and devices
⦁ Remote work environment with collaborative cross-functional coordination
If your strength is keeping prior auths from dying in limbo, apply now. These roles move faster when teams are trying to reduce delays and backlogs.
Get the paperwork right, keep the calls tight, and help patients get to “approved.”
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Dec 18, 2025 | Uncategorized
Keep healthcare moving behind the scenes by making sure the right medical records get to the right place, fast and accurately. If you’re organized, professional on the phone, and comfortable juggling email, portals, and data entry, this is a solid remote role with clear daily structure.
About Advantmed
Advantmed supports healthcare organizations with services that improve accuracy, compliance, and outcomes. This role focuses on medical record request coordination and communication with provider offices while protecting patient privacy.
Schedule
- Remote (United States)
- Long-term seasonal, temporary role
- Shift: 8:00 AM – 5:00 PM PST (includes break)
- Pay: $13–$15/hour
What You’ll Do
⦁ Handle outgoing medical record requests through the company portal
⦁ Contact healthcare facilities and provider offices to request records and respond to emails with strong customer service
⦁ Follow HIPAA and company policies to protect confidentiality and escalate issues appropriately
⦁ Keep your Supervisor updated on progress, obstacles, and any service concerns or potential HIPAA violations
⦁ Support additional tasks as needed and handle challenging situations calmly and professionally
⦁ Complete accurate data entry and back-end documentation using Microsoft Word and Excel
What You Need
⦁ High School Diploma or GED
⦁ Strong written and spoken English communication skills
⦁ Basic Microsoft Excel and Word skills
⦁ Understanding of medical records processes and HIPAA regulations
⦁ Strong organization and time management to meet goals and manage a steady workload
Benefits
⦁ Remote schedule with consistent hours (PST)
⦁ Clear, process-driven work in a healthcare support environment
⦁ Opportunity to build experience in medical records, compliance, and healthcare operations
Hiring moves fast on roles like this. If the hours work for you, apply now before the seasonal roster fills up.
If you’re dependable, detail-sharp, and respectful with sensitive info, you’ll do well here.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Dec 18, 2025 | Uncategorized
Lead a team that keeps patients moving by verifying coverage fast, accurately, and with empathy. If you know pharmacy or medical insurance and you can coach people to hit quality goals without burning them out, this is a strong work from home leadership lane.
About CVS Health
CVS Health is a Fortune 5 health solutions company serving millions through local and digital care. Their mission is to build more connected, convenient, and compassionate health experiences. This role supports Specialty Pharmacy operations by ensuring benefits are verified correctly and customer expectations are met.
Schedule
- Work from home eligible if you live in: Texas, Pennsylvania, Illinois, Arizona, or Florida
- Full-time (40 hours/week)
- Must live within 75 miles of a Specialty Location
- Application window closes: 12/20/2025
What You’ll Do
⦁ Supervise a Benefits Verification team and provide day-to-day direction to ensure patient benefits are verified to company guidelines
⦁ Monitor call, performance, and workflow metrics to ensure production and quality targets are consistently met
⦁ Coordinate procedural changes, troubleshoot operational issues, and keep service delivery on track
⦁ Coach, motivate, and counsel employees through performance reviews, development, and corrective action when needed
⦁ Support hiring by participating in interviewing and onboarding new team members
⦁ Help lead department and pharmacy-wide projects that improve service, accuracy, and profitability
What You Need
⦁ 1 year of supervisory experience in a related environment
⦁ 3 years of experience working with medical insurance or in a pharmacy environment
⦁ Must live within 75 miles of a CVS Specialty Location
⦁ High School Diploma or GED
Benefits
⦁ Base pay range: $43,888.00 – $93,574.00 (plus eligibility for bonus/short-term incentives)
⦁ Medical, dental, and vision insurance plus additional supplemental benefits and discount programs
⦁ 401(k) with matching, employee stock purchase plan, and wellness programs
⦁ Paid time off (including sixteen paid days off) and ten paid holidays
This one closes 12/20/2025. If you’re in one of the eligible states and within the 75-mile radius, don’t wait until the last week when everybody suddenly “remembers” to apply.
Lead with clarity, protect quality, and keep patients from getting stuck in the coverage maze.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Dec 18, 2025 | Uncategorized
This one’s a “clinical ops + quality + process improvement” role. Not licensed, but still very healthcare-adjacent. Think: keeping the machine running clean, compliant, and measurable.
About CVS Health
CVS Health is a Fortune 5 health solutions company serving millions through retail, digital, and health services, focused on making care more connected and affordable.
Schedule
- Full-time, 40 hours/week
- Remote (Work at Home), Illinois
What You’ll Do
- Act as a liaison between members, staff, vendors, and internal teams to keep clinical support work moving
- Support clinical operations through process improvement, compliance, and quality assurance
- Analyze and report data tied to growth goals and operational performance
- Coordinate a clinical support review process, capturing consistent data and producing detailed reports
- Help deliver basic performance insights to senior managers (clear, consistent reporting)
- Maintain and improve workflows, standards, and protocols to keep operations efficient and compliant
What You Need
- 2–3 years related experience in the healthcare field
- Strong interpersonal + communication skills (you’ll be the glue between groups)
- High school diploma
Preferred
- HEDIS knowledge/experience and data collection work
- Bachelor’s degree in a health-related field
Pay
- Typical range: $43,888 – $93,574/year (role is bonus-eligible)
Benefits
- Medical plan options
- 401(k) with matching
- Employee stock purchase plan
- Wellness programs, counseling, financial coaching
- PTO, flexible schedules, family leave, tuition assistance, dependent care resources (eligibility varies)
Deadline: application window expected to close 12/19/2025.
Straight talk: this is a solid move if you’ve done healthcare admin, coordination, QA, reporting, or anything touching HEDIS. If your background is more “pure customer service” with no healthcare exposure, you’d need to frame your experience hard around process, documentation accuracy, compliance, and data tracking.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Dec 18, 2025 | Uncategorized
This is a pricing-and-deal desk leadership role. You’re basically the person who helps Sales win while making sure CVS doesn’t price itself into a bad marriage. Heavy modeling, fast deadlines, exec presentations, and a lot of “answer that question right now” energy.
About CVS Health
CVS Health is a Fortune 5 health solutions company serving millions through retail presence, digital channels, and large-scale health services.
Schedule
- Full-time, 40 hours/week
- Remote (Work at Home), Illinois
What You’ll Do
- Lead Specialty Drug pricing strategy and build financial models for comprehensive pricing offers
- Review RFP financial sections to spot client needs, concerns, and deal risks
- Partner with Sales + Account Services on pricing and negotiation strategy to hit revenue/profit targets
- Identify, evaluate, and manage underwriting risk to maximize revenue, membership, and earnings
- Own the underwriting workflow end-to-end: from RFP/pricing request intake to internal communication of final financial agreements
- Present to executive leadership on underwriting approval calls, and defend the numbers live
What You Need
- 5+ years pricing or financial analysis experience
- 1+ year building financial models
- Strong analytical mindset + comfort working at speed with tight turnarounds
- Ability to communicate clearly with senior leaders (because you will get challenged)
Preferred
- Contract and/or RFP experience
- Master’s degree (not required)
Pay
- Typical range: $66,330 – $145,860/year (plus potential bonus/short-term incentives)
Benefits
- Medical plan options
- 401(k) with matching
- Employee stock purchase plan
- Wellness programs, counseling, financial coaching
- PTO, family leave, tuition assistance, dependent care resources (eligibility varies)
Deadline: application window expected to close 12/31/2025.
My blunt take: if you don’t already have pricing/modeling chops (Excel heavy, sometimes actuarial-adjacent thinking), this is a stretch role. But if you do and you’ve dealt with RFPs, it’s a clean “remote manager” lane with real influence.
Happy Hunting,
~Two Chicks…
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