Grievance Analyst (First Call Resolution) - Remote

Overview

The Grievance Analyst at CVS Health plays a critical role in ensuring quality reviews of Medicare Part D grievance cases to enhance member satisfaction and meet regulatory requirements.

In Short

• Perform quality reviews on grievance cases.
• Ensure compliance with regulatory requirements.
• Document case resolutions accurately.
• Report error trends to leadership.
• Support various operational teams.
• Proficient in Microsoft Word and Excel.
• Detail-oriented with strong research skills.
• Ability to multitask and prioritize effectively.
• Flexible and receptive to feedback.
• Work full-time with a typical weekly schedule of 40 hours.

Requirements

• 2+ years of customer service experience.
• Experience with complex databases and research.
• Proficiency in Microsoft Office products.
• Preferred experience in Pharmacy Benefit Management.
• Preferred experience in Medicare grievance analysis.
• Bachelor's degree preferred.
• High School Diploma or equivalent required.

Benefits

• Competitive pay and comprehensive benefits.
• 401(k) plan with company matching.
• No-cost wellness programs.
• Paid time off and flexible work schedules.
• Tuition assistance and dependent care resources.
• Confidential counseling and financial coaching.
• Employee stock purchase plan.