As the nation’s leading health solutions company, CVS Health is looking for a Senior Coordinator - Complaint & Appeals to oversee the investigation and resolution of appeals scenarios for all products. The ideal candidate will have at least 2+ years of experience in claim platforms, products, and benefits, patient management, or compliance and regulatory analysis.
Requirements
- At least 2+ years of experience in claim platforms, products, and benefits, patient management, or compliance and regulatory analysis
- 2+ years of Medicare Experience
- Medicare and/or Medicaid knowledge
- Experience in reading or researching benefit language
- Ability to work in fast paced, high volume environment
- Proficient in computer use, including Excel and Electronic Health Records (EHR) systems
Benefits
- Affordable medical plan options
- 401(k) plan (including matching company contributions)
- Employee stock purchase plan
- No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
- Paid time off
- Flexible work schedules
- Family leave
- Dependent care resources
- Colleague assistance programs
- Tuition assistance
- Retiree medical access
