Sr Coordinator, Complaint and Appeal Analyst

Posted:
8/28/2024, 1:54:19 AM

Location(s):
North Carolina, United States

Experience Level(s):
Senior

Field(s):
Customer Success & Support

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.
 
Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.

Position Summary
This position will support the organization which is responsible for the research and resolution of all member complaints and appeals to include written correspondence to communicate the outcome. The appeal analyst will be responsible for ensuring complaint and appeal turnaround times are met, and responses are compliant with state and regulatory requirements. The role will specifically support member teams.

Required Qualifications
- Strong knowledge in claims and benefits
- Strong attention to detail
- Team player
- Ability to multitask in a fast paced environment

 

Preferred Qualifications

- Excellent written skills

- Medical claims and customer service experience

- Strong knowledge of MedCompass, ASD, GPS


Education

High School Diploma or equivalent experience

Pay Range

The typical pay range for this role is:

$18.50 - $31.72

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.  The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.  
 
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities.  The Company offers a full range of medical, dental, and vision benefits.  Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees.  The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners.  As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.  
 
For more detailed information on available benefits, please visit Benefits | CVS Health

We anticipate the application window for this opening will close on: 08/31/2024

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

CVS Pharmacy Inc

Website: https://cvshealth.com/

Headquarter Location: Woonsocket, Rhode Island, United States

Employee Count: 10001+

Year Founded: 1963

IPO Status: Public

Last Funding Type: Post-IPO Equity

Industries: Health Care ⋅ Medical ⋅ Pharmaceutical ⋅ Retail ⋅ Sales