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Coordinator, Complaint & Appeals at CVS Health
Cacao, French Guiana, France - Full Time
Skills Needed
Problem Solving, Decision Making, Report Analysis, Compliance, Billing, Coding, Documentation, Training, Coaching, Communication, Customer Service, Attention To Detail, Data Entry, Research, Follow Up, Team Collaboration
Specialization
The position requires less than 1 year of work experience and a working knowledge of problem-solving and decision-making skills. No specific educational requirements are mentioned.
Pharmacy Technician at CVS Health
Shreveport, Louisiana, United States - Full Time
Skills Needed
Customer Service, Communication Skills, Mathematical Reasoning, Problem Resolution, Attention To Detail, Team Orientation, Flexibility, Empathy, Inventory Management, Prescription Fulfillment, Patient Care, Regulatory Compliance, Training, Technical Knowledge, Safety Procedures, Compassionate Care
Specialization
Candidates must comply with state board of pharmacy requirements, including age and education. A high school diploma or equivalent is required, and state-level licensure and national certification may vary.
Pharmacy Technician at CVS Health
Lakeport, California, United States - Full Time
Skills Needed
Attention To Detail, Customer Service Orientation, Communication Skills, Mathematical Reasoning, Problem Resolution
Specialization
Candidates must be at least 16 years old and meet state licensure requirements. Attention to detail, customer service skills, and the ability to communicate effectively are essential for this role.
RN-(H) at SSM Health
Oklahoma City, Oklahoma, United States - Full Time
Skills Needed
Nursing Care, Patient Advocacy, Assessment Data Collection, Care Plan Development, Intervention Implementation, Patient Education, Leadership Skills, Effective Communication, Cultural Sensitivity, Holistic Care, Evidence Based Practice, Collaboration, Mentorship, Health Promotion, Quality Improvement, Medical Surgical Nursing
Specialization
Graduate of an accredited school of nursing is required, with no prior experience necessary. Candidates must hold a valid RN license and BLS certification for the state of work location.
Business Intelligence Analytics Partner Senior at SSM Health
, , United States - Full Time
Skills Needed
Data Engineering, Analytics, Sql, Ssis, Python, Github, Power Bi, Data Visualization, Data Validation, Quality Checks, User Acceptance Testing, Data Pipelines, Epic Certification, Continuous Improvement, Pharmacy Knowledge, Value Based Care
Specialization
Candidates should have a bachelor's degree or equivalent experience, along with three years of data engineering experience and proficiency in SQL, SSIS, Python, and GitHub. Preferred experience includes working with Databricks and Azure Data Factory, as well as knowledge of the pharmacy or value-based care domain.
Experience Required
Minimum 2 year(s)
Pharmacy Technician at CVS Health
Chico, California, United States - Full Time
Skills Needed
Attention To Detail, Customer Service Orientation, Communication Skills, Mathematical Reasoning, Problem Resolution
Specialization
Candidates must be at least 16 years old and meet state licensure requirements. Attention to detail, customer service skills, and the ability to communicate effectively are essential for this role.
Pharmacy Technician at CVS Health
Hingham, Massachusetts, United States - Full Time
Skills Needed
Customer Service, Communication Skills, Mathematical Reasoning, Problem Resolution, Attention To Detail, Team Orientation, Empathy, Inventory Management, Flexibility, Patient Care, Regulatory Compliance, Technical Knowledge, Active Listening, Prescription Fulfillment, Safety Procedures, Compassionate Care
Specialization
Candidates must comply with state board of pharmacy requirements, including age and education. A high school diploma or equivalent is required, and state-level licensure and certification vary.
Pharmacy Technician at CVS Health
Apple Valley, California, United States - Full Time
Skills Needed
Customer Service, Team Orientation, Communication Skills, Mathematical Reasoning, Problem Resolution, Attention To Detail, Inventory Management, Flexibility, Empathy, Technical Knowledge, Patient Care, Safety Compliance, Standard Operating Procedures, Training, Prescription Fulfillment, Compassionate Care
Specialization
Candidates must comply with state board of pharmacy requirements, including age and education. A high school diploma or equivalent is required, and state-level licensure and national certification may vary.
Pharmacy Technician at CVS Health
, Illinois, United States - Full Time
Skills Needed
Attention To Detail, Customer Service Orientation, Communication Skills, Mathematical Reasoning, Problem Resolution
Specialization
Candidates must be at least 16 years old and meet state licensure requirements. Attention to detail, customer service skills, and the ability to communicate effectively are essential for this role.
Nurse Manager at DAP Health
Palm Springs, California, United States - Full Time
Skills Needed
Leadership, Clinical Supervision, Patient Care, Regulatory Compliance, Staff Development, Performance Management, Quality Assurance, Infection Control, Budget Management, Communication, Interpersonal Skills, Decision Making, Training, Documentation, Case Management, Workflow Development
Specialization
Candidates must have a current Registered Nurse license and three years of nursing experience, with one to two years in nursing management preferred. Current BLS certification is also required.
Experience Required
Minimum 2 year(s)
Store Manager in Training at CVS Health
Gaffney, South Carolina, United States - Full Time
Skills Needed
Communication, Customer Care, Merchandising Strategies, Inventory Management, Leadership, Team Engagement, Sales Growth, Profitability Management
Specialization
A high school diploma or GED is required, with a bachelor's degree preferred. Retail management experience or experience as a CVS Supervisor is also necessary.
Store Manager in Training at CVS Health
, , United States - Full Time
Skills Needed
Communication, Customer Care, Merchandising Strategies, Inventory Management, Leadership, Team Engagement, Sales Growth, Profitability Management
Specialization
Candidates are expected to have a high school diploma or GED, with a bachelor's degree preferred. Retail management experience or experience as a CVS Supervisor is also required.
Store Associate at CVS Health
Rochester Hills, Michigan, United States - Full Time
Skills Needed
Customer Service, Cashier Duties, Inventory Management, Sales Floor Maintenance, Teamwork, Compassion, Problem Solving, Communication, Retail Experience, Pharmacy Support, Greeting Customers, Attention To Detail, Time Management, Adaptability, Lifting Skills
Specialization
Candidates must be at least 16 years old and should be able to lift and exert up to 35 lbs. A high school diploma is preferred but not required, and previous retail or customer service experience is advantageous.
Operations Manager at CVS Health
Concord, North Carolina, United States - Full Time
Skills Needed
Deductive Reasoning, Analytical Skills, Computer Skills, Communication Skills, Leadership, Supervision, Influencing Skills, Customer Service
Specialization
Candidates should possess advanced analytical and communication skills, along with leadership and supervision abilities. A high school diploma is preferred but not required, and candidates must be able to work a flexible schedule.
Operations Manager at CVS Health
Hingham, Massachusetts, United States - Full Time
Skills Needed
Deductive Reasoning, Analytical Skills, Computer Skills, Communication Skills, Leadership, Supervision, Influencing Skills, Customer Service, Sales Management, Inventory Management, Employee Training, Financial Management, Problem Solving, Team Management, Operational Improvement
Specialization
Candidates should possess advanced analytical, communication, and leadership skills, along with the ability to work a flexible schedule. A high school diploma or equivalent is preferred but not required.
Medical Assistant at CVS Health
Indianapolis, Indiana, United States - Full Time
Skills Needed
Medical Assistant Certification, Patient Care, Vital Signs, Screenings, Medication Reviews, Telephonic Support, Vaccinations, Point Of Care Tests, Electronic Medical Record, Computer Skills, Problem Solving, Communication Skills, Customer Service, Attention To Detail, Flexibility, Team Collaboration
Specialization
Candidates must have state or national certification or graduation from an accredited medical assistant course, along with at least one year of experience. CPR or BLS certification and electronic medical record experience are also required.
Experience Required
Minimum 2 year(s)
Pharmacy Technician at CVS Health
Tunkhannock, Pennsylvania, United States - Full Time
Skills Needed
Customer Service, Communication Skills, Mathematical Reasoning, Problem Resolution, Attention To Detail, Team Orientation, Flexibility, Empathy, Inventory Management, Prescription Fulfillment, Patient Care, Regulatory Compliance, Training, Technical Knowledge, Safety Procedures, Compassionate Care
Specialization
Candidates must comply with state board of pharmacy requirements, including age and education. A high school diploma or equivalent is required, and state-level licensure and national certification may vary.
Pharmacy Technician at CVS Health
McKinney, Texas, United States - Full Time
Skills Needed
Customer Service, Communication Skills, Mathematical Reasoning, Problem Resolution, Attention To Detail, Team Orientation, Flexibility, Empathy, Inventory Management, Prescription Fulfillment, Patient Care, Regulatory Compliance, Training, Technical Knowledge, Active Listening, Safety Procedures
Specialization
Candidates must comply with state board of pharmacy requirements, including age and education. A high school diploma or equivalent is required, and state-level licensure and national certification may vary.
Pharmacy Technician at CVS Health
Spartanburg, South Carolina, United States - Full Time
Skills Needed
Customer Service, Team Orientation, Communication Skills, Mathematical Reasoning, Problem Resolution, Attention To Detail, Flexibility, Empathy, Inventory Management, Prescription Fulfillment, Patient Care, Regulatory Compliance, Training, Technical Knowledge, Safety Practices, Compassionate Care
Specialization
Candidates must comply with state board of pharmacy requirements, including age and education. A high school diploma or equivalent is required, and state-level licensure and national certification may vary.
Pharmacy Technician at CVS Health
Murrells Inlet, South Carolina, United States - Full Time
Skills Needed
Customer Service, Team Orientation, Communication Skills, Mathematical Reasoning, Problem Resolution, Attention To Detail, Empathy, Inventory Management, Flexibility, Compliance, Patient Care, Training, Technical Knowledge, Safety, Compassionate Care, Active Listening
Specialization
Candidates must comply with state board of pharmacy requirements, including age and education. A high school diploma or equivalent is required, or candidates must be actively enrolled in a high school or equivalency program.
Coordinator, Complaint & Appeals at CVS Health
Cacao, French Guiana, France -
Full Time


Start Date

Immediate

Expiry Date

11 Apr, 26

Salary

31.3

Posted On

11 Jan, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Problem Solving, Decision Making, Report Analysis, Compliance, Billing, Coding, Documentation, Training, Coaching, Communication, Customer Service, Attention To Detail, Data Entry, Research, Follow Up, Team Collaboration

Industry

Hospitals and Health Care

Description
At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. Job description summary: Prepares information and reports needed to address matters regarding complaints, appeals, and grievances. Carries out policies, procedures, and programs to ensure compliance with federal and/or state regulations. Job Description: Prepares information and reports needed to address matters regarding complaints, appeals, and grievances. Carries out policies, procedures, and programs to ensure compliance with federal and/or state regulations. What you will do Reviews, interprets, and processes appeals and grievances filed by patients, escalating more complex issues and concerns to management for review and follow-up. Performs patient and insurance report analysis and identifies any trends or issues that need to be addressed. Conducts reviews of decisions and case files to determine if there are any errors or anomalies in the application of law or evidence. Drafts and sends appeal decision letters, conducting detailed follow-up for timely and thorough follow-up and resolution. Reviews billing and coding for all current and new medical service lines for accuracy and consistency. Documents patient billing questions and concerns, subsequently inputting all detailed notes and records into the company database. Prepares educational materials, training programs, and presentations to enhance understanding of the appeals and grievances process. Coaches junior colleagues on best practices and standard operating procedures for handling complaints and appeals. Assists with the training of junior-level staff to promote the development of departmental capabilities. For this role you will need Minimum Requirements Less than 1 year work experience Working knowledge of problem solving and decision making skills Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $17.00 - $31.30 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. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit https://jobs.cvshealth.com/us/en/benefits We anticipate the application window for this opening will close on: 01/25/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. Our Work Experience is the combination of everything that's unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people. Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful. They make choices according to what is best for the team, they live for opportunities to collaborate and make a difference, and they make us the #1 Top Workplace in the area.
Responsibilities
The Coordinator, Complaint & Appeals prepares information and reports to address complaints, appeals, and grievances. They review and process appeals, conduct analysis, draft decision letters, and coach junior colleagues.
Coordinator, Complaint & Appeals at CVS Health
Cacao, French Guiana, France - Full Time
Skills Needed
Problem Solving, Decision Making, Report Analysis, Compliance, Billing, Coding, Documentation, Training, Coaching, Communication, Customer Service, Attention To Detail, Data Entry, Research, Follow Up, Team Collaboration
Specialization
The position requires less than 1 year of work experience and a working knowledge of problem-solving and decision-making skills. No specific educational requirements are mentioned.
Pharmacy Technician at CVS Health
Shreveport, Louisiana, United States - Full Time
Skills Needed
Customer Service, Communication Skills, Mathematical Reasoning, Problem Resolution, Attention To Detail, Team Orientation, Flexibility, Empathy, Inventory Management, Prescription Fulfillment, Patient Care, Regulatory Compliance, Training, Technical Knowledge, Safety Procedures, Compassionate Care
Specialization
Candidates must comply with state board of pharmacy requirements, including age and education. A high school diploma or equivalent is required, and state-level licensure and national certification may vary.
Pharmacy Technician at CVS Health
Lakeport, California, United States - Full Time
Skills Needed
Attention To Detail, Customer Service Orientation, Communication Skills, Mathematical Reasoning, Problem Resolution
Specialization
Candidates must be at least 16 years old and meet state licensure requirements. Attention to detail, customer service skills, and the ability to communicate effectively are essential for this role.
RN-(H) at SSM Health
Oklahoma City, Oklahoma, United States - Full Time
Skills Needed
Nursing Care, Patient Advocacy, Assessment Data Collection, Care Plan Development, Intervention Implementation, Patient Education, Leadership Skills, Effective Communication, Cultural Sensitivity, Holistic Care, Evidence Based Practice, Collaboration, Mentorship, Health Promotion, Quality Improvement, Medical Surgical Nursing
Specialization
Graduate of an accredited school of nursing is required, with no prior experience necessary. Candidates must hold a valid RN license and BLS certification for the state of work location.
Business Intelligence Analytics Partner Senior at SSM Health
, , United States - Full Time
Skills Needed
Data Engineering, Analytics, Sql, Ssis, Python, Github, Power Bi, Data Visualization, Data Validation, Quality Checks, User Acceptance Testing, Data Pipelines, Epic Certification, Continuous Improvement, Pharmacy Knowledge, Value Based Care
Specialization
Candidates should have a bachelor's degree or equivalent experience, along with three years of data engineering experience and proficiency in SQL, SSIS, Python, and GitHub. Preferred experience includes working with Databricks and Azure Data Factory, as well as knowledge of the pharmacy or value-based care domain.
Experience Required
Minimum 2 year(s)
Pharmacy Technician at CVS Health
Chico, California, United States - Full Time
Skills Needed
Attention To Detail, Customer Service Orientation, Communication Skills, Mathematical Reasoning, Problem Resolution
Specialization
Candidates must be at least 16 years old and meet state licensure requirements. Attention to detail, customer service skills, and the ability to communicate effectively are essential for this role.
Pharmacy Technician at CVS Health
Hingham, Massachusetts, United States - Full Time
Skills Needed
Customer Service, Communication Skills, Mathematical Reasoning, Problem Resolution, Attention To Detail, Team Orientation, Empathy, Inventory Management, Flexibility, Patient Care, Regulatory Compliance, Technical Knowledge, Active Listening, Prescription Fulfillment, Safety Procedures, Compassionate Care
Specialization
Candidates must comply with state board of pharmacy requirements, including age and education. A high school diploma or equivalent is required, and state-level licensure and certification vary.
Pharmacy Technician at CVS Health
Apple Valley, California, United States - Full Time
Skills Needed
Customer Service, Team Orientation, Communication Skills, Mathematical Reasoning, Problem Resolution, Attention To Detail, Inventory Management, Flexibility, Empathy, Technical Knowledge, Patient Care, Safety Compliance, Standard Operating Procedures, Training, Prescription Fulfillment, Compassionate Care
Specialization
Candidates must comply with state board of pharmacy requirements, including age and education. A high school diploma or equivalent is required, and state-level licensure and national certification may vary.
Pharmacy Technician at CVS Health
, Illinois, United States - Full Time
Skills Needed
Attention To Detail, Customer Service Orientation, Communication Skills, Mathematical Reasoning, Problem Resolution
Specialization
Candidates must be at least 16 years old and meet state licensure requirements. Attention to detail, customer service skills, and the ability to communicate effectively are essential for this role.
Nurse Manager at DAP Health
Palm Springs, California, United States - Full Time
Skills Needed
Leadership, Clinical Supervision, Patient Care, Regulatory Compliance, Staff Development, Performance Management, Quality Assurance, Infection Control, Budget Management, Communication, Interpersonal Skills, Decision Making, Training, Documentation, Case Management, Workflow Development
Specialization
Candidates must have a current Registered Nurse license and three years of nursing experience, with one to two years in nursing management preferred. Current BLS certification is also required.
Experience Required
Minimum 2 year(s)
Store Manager in Training at CVS Health
Gaffney, South Carolina, United States - Full Time
Skills Needed
Communication, Customer Care, Merchandising Strategies, Inventory Management, Leadership, Team Engagement, Sales Growth, Profitability Management
Specialization
A high school diploma or GED is required, with a bachelor's degree preferred. Retail management experience or experience as a CVS Supervisor is also necessary.
Store Manager in Training at CVS Health
, , United States - Full Time
Skills Needed
Communication, Customer Care, Merchandising Strategies, Inventory Management, Leadership, Team Engagement, Sales Growth, Profitability Management
Specialization
Candidates are expected to have a high school diploma or GED, with a bachelor's degree preferred. Retail management experience or experience as a CVS Supervisor is also required.
Store Associate at CVS Health
Rochester Hills, Michigan, United States - Full Time
Skills Needed
Customer Service, Cashier Duties, Inventory Management, Sales Floor Maintenance, Teamwork, Compassion, Problem Solving, Communication, Retail Experience, Pharmacy Support, Greeting Customers, Attention To Detail, Time Management, Adaptability, Lifting Skills
Specialization
Candidates must be at least 16 years old and should be able to lift and exert up to 35 lbs. A high school diploma is preferred but not required, and previous retail or customer service experience is advantageous.
Operations Manager at CVS Health
Concord, North Carolina, United States - Full Time
Skills Needed
Deductive Reasoning, Analytical Skills, Computer Skills, Communication Skills, Leadership, Supervision, Influencing Skills, Customer Service
Specialization
Candidates should possess advanced analytical and communication skills, along with leadership and supervision abilities. A high school diploma is preferred but not required, and candidates must be able to work a flexible schedule.
Operations Manager at CVS Health
Hingham, Massachusetts, United States - Full Time
Skills Needed
Deductive Reasoning, Analytical Skills, Computer Skills, Communication Skills, Leadership, Supervision, Influencing Skills, Customer Service, Sales Management, Inventory Management, Employee Training, Financial Management, Problem Solving, Team Management, Operational Improvement
Specialization
Candidates should possess advanced analytical, communication, and leadership skills, along with the ability to work a flexible schedule. A high school diploma or equivalent is preferred but not required.
Medical Assistant at CVS Health
Indianapolis, Indiana, United States - Full Time
Skills Needed
Medical Assistant Certification, Patient Care, Vital Signs, Screenings, Medication Reviews, Telephonic Support, Vaccinations, Point Of Care Tests, Electronic Medical Record, Computer Skills, Problem Solving, Communication Skills, Customer Service, Attention To Detail, Flexibility, Team Collaboration
Specialization
Candidates must have state or national certification or graduation from an accredited medical assistant course, along with at least one year of experience. CPR or BLS certification and electronic medical record experience are also required.
Experience Required
Minimum 2 year(s)
Pharmacy Technician at CVS Health
Tunkhannock, Pennsylvania, United States - Full Time
Skills Needed
Customer Service, Communication Skills, Mathematical Reasoning, Problem Resolution, Attention To Detail, Team Orientation, Flexibility, Empathy, Inventory Management, Prescription Fulfillment, Patient Care, Regulatory Compliance, Training, Technical Knowledge, Safety Procedures, Compassionate Care
Specialization
Candidates must comply with state board of pharmacy requirements, including age and education. A high school diploma or equivalent is required, and state-level licensure and national certification may vary.
Pharmacy Technician at CVS Health
McKinney, Texas, United States - Full Time
Skills Needed
Customer Service, Communication Skills, Mathematical Reasoning, Problem Resolution, Attention To Detail, Team Orientation, Flexibility, Empathy, Inventory Management, Prescription Fulfillment, Patient Care, Regulatory Compliance, Training, Technical Knowledge, Active Listening, Safety Procedures
Specialization
Candidates must comply with state board of pharmacy requirements, including age and education. A high school diploma or equivalent is required, and state-level licensure and national certification may vary.
Pharmacy Technician at CVS Health
Spartanburg, South Carolina, United States - Full Time
Skills Needed
Customer Service, Team Orientation, Communication Skills, Mathematical Reasoning, Problem Resolution, Attention To Detail, Flexibility, Empathy, Inventory Management, Prescription Fulfillment, Patient Care, Regulatory Compliance, Training, Technical Knowledge, Safety Practices, Compassionate Care
Specialization
Candidates must comply with state board of pharmacy requirements, including age and education. A high school diploma or equivalent is required, and state-level licensure and national certification may vary.
Pharmacy Technician at CVS Health
Murrells Inlet, South Carolina, United States - Full Time
Skills Needed
Customer Service, Team Orientation, Communication Skills, Mathematical Reasoning, Problem Resolution, Attention To Detail, Empathy, Inventory Management, Flexibility, Compliance, Patient Care, Training, Technical Knowledge, Safety, Compassionate Care, Active Listening
Specialization
Candidates must comply with state board of pharmacy requirements, including age and education. A high school diploma or equivalent is required, or candidates must be actively enrolled in a high school or equivalency program.
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