Job Information
CVS Health Senior Compliant & Appeals in Harrisburg, Pennsylvania
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 The Medicare Grievance Sr. Coordinator will fully research and resolve beneficiary complaints.
Candidates can live anywhere US
These complaints can include various issues and may require coordination with various departments to fully reach resolution. Responses must be timely and include member focused solutions in both written and oral format.
Ideal candidates will have Medicare knowledge, customer service experience, attention to detail and the ability to multitask. Production and quality goals will align to time in the position.
Colleagues have opportunities to grow in the complaints business unit with opportunities for advancement via documented skill progression paths.
Required Qualifications
• Experience handling customer service phone calls and elevated issues
• Ability to document resolution in written communication to members in a professional and easy to understand manner
• Experience troubleshooting complex customer problems
• Attention to detail
• Ability to work across various departments as necessary to establish the root cause and resolution of the issue
• Ability to toggle between multiple applications
• Ability to juggle caseload effectively Preferred Qualifications
Good communication skills
Candidates can live anywhere US
Education
High school diploma and relevant work experience
Pay Range
The typical pay range for this role is:
$18.50 - $37.02
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 jobs.CVSHealth.com/benefits
We anticipate the application window for this opening will close on: 06/21/2024
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.