Complaint and Appeals Analyst - Remote

Overview

As a Complaint and Appeals Analyst at CVS Health, you will research and process grievances and appeals for Dual eligible members and providers while interacting with Medical Directors and Nurses.

In Short

• Research and process grievances and appeals.
• Perform outreach to obtain additional information.
• Interact with Medical Directors and Nurses.
• Work in a fully remote setting.
• Full-time position with 40 weekly hours.
• Base pay range of $21.10 - $44.99 per hour.
• Eligibility for bonuses and commission.
• Comprehensive benefits package available.
• Work with a dedicated team in the health solutions sector.
• Contribute to a culture of care and compassion.

Requirements

• 1 year of experience in health insurance grievance processing.
• 6+ years of experience in Medicare and Medicaid appeals preferred.
• High School Diploma or GED required.
• Strong communication skills.
• Ability to work independently in a remote environment.
• Detail-oriented with strong analytical skills.

Benefits

• Affordable medical plan options.
• 401(k) plan with company matching.
• Employee stock purchase plan.
• No-cost wellness programs.
• Flexible work schedules and paid time off.
• Tuition assistance and dependent care resources.
• Confidential counseling and financial coaching.