Job Description
Job Title: Representative I
Job Location: San Antonio, TX, 78238
Job Duration: 11 Months + Extension
HYBRID - 2-3 days a week in San Antonio office (TBD on those days) and have to report in office on a weekend rotation Start date: 11/16/2026
Shift: Training Hours are 9a-5:30p EST. Working hours will be a rotating shift between the hours of 8a-8p EST In this role, Coverage Determination Representative I, contractors will be responsible for: - Utilizing multiple software systems to create Medicare Prior Authorization case reviews
- Meeting or exceeding government mandated timelines
- Complying with turnaround time, productivity, and quality standards
- Acquiring and maintaining basic knowledge of relevant and changing Med D guidance
- Opportunity for full-time employment contingent on performance
- Virtual interviews with supervisors via Teams or phone.
- Hours of operation 8-8 EST M-F with rotating weekend schedules
Please review with candidate, complete, and copy on top of resume:
1. Attendance is extremely important, especially during the initial 8 weeks of training. The new hire must be available M-F from 9am-5:30pm EST for the first 8 weeks (no vacation time planned). All time off needed should be discussed and disclosed during this initial review. Do you have any conflicts with the training schedule or time off planned during assignment duration?
2. After training, our hours of operation are 8-8 EST M-F with rotating weekend schedules. they must be available for the rotating weekend. Do you have any conflicts working an assigned 8-hour shift between 8AM 8PM EST and rotating weekends? 3. This is a Hybrid position; colleague will work from office location and work virtual from home. Requirement for hybrid to report to office 3 days a week. Must have a dedicated quiet, separate space in which to work with wired internet meeting 25mbps min download and 5mbps minimum upload speed. Previous WFH experience is preferred. Do you have a separate workspace with no interruptions?
Please include internet speed
4. Must be able to sit and focus on work for the duration of shift. Are you able to sit and focus with no interruptions for entire shift?
5. Data entry and navigating multiple computer applications while utilizing two screens is the primary function of job (possible outbound calls needed). A job history demonstrating this is recommended. Do you have data entry experience?
6. Pharmacy or medical background is preferred. Do you have a Pharmacy or Medical background?
7. Successfully worked independently in a data entry, productivity driven role is preferred Are you able to work independently?
8. As a company we strive for a team that is engaged and positive so candidates that demonstrate this would be ideal Do you feel you have the engagement and positive attitude to work this assignment?
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Job Tags
Full time, For contractors, Work at office, Shift work, Rotating shift, 2 days per week, 3 days per week