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Encompass Health Jobs overseas

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Senior Coordinator Complaint Appeals Operations at CVS Health
Cacao, French Guiana, France - Full Time
Skills Needed
Verbal Communication, Written Communication, Customer Service, Medicare Knowledge, Research Skills, Analysis Skills, Project Management, Training, Coaching, Claims Processing, Problem Solving, Attention To Detail, Regulatory Knowledge, Workflow Documentation, Quality Review, Trend Identification
Specialization
Excellent verbal and written communication skills are required, along with Medicare knowledge or experience. Preferred qualifications include 1-2 years of Medicare Part C Appeals experience and experience in researching benefit language.
Pharmacy Technician at CVS Health
North Kingstown, Rhode Island, 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 effective communication are essential for success in this role.
Store Manager in Training at CVS Health
Columbus, Ohio, United States - Full Time
Skills Needed
Communication, Customer Care, Merchandising Strategies, Inventory Management, Leadership, Team Engagement, Sales Growth, Problem Solving
Specialization
Candidates must 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.
Pharmacy Tecnician at CVS Health
, , 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.
Store Manager in Training at CVS Health
Tuscaloosa, Alabama, United States - Full Time
Skills Needed
Communication, Customer Care, Merchandising Strategies, Inventory Management, Leadership, Team Engagement
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.
Medical Assistant Certified/Registered at SSM Health
Saint Peters, Missouri, United States - Full Time
Skills Needed
Patient Care, Vital Signs, Clerical Duties, Materials Management, Documentation, Communication, Record Keeping, Scheduling, Transcribing Orders, Basic Life Support, Medical Assistance, Teamwork, Attention To Detail, Time Management, Safety Awareness, Customer Service
Specialization
Candidates must have a high school diploma or GED, or 10 years of work experience. Certification as a medical assistant is required in certain states, along with basic life support certification.
Staff Pharmacist FT at CVS Health
Owensboro, Kentucky, United States - Full Time
Skills Needed
Patient Safety, Pharmacy Professional Practice, Regulatory Requirements, Quality Assurance, Customer Service, Personnel Management, Inventory Management, Financial Profitability, Loss Prevention, Workflow Management, Patient Care Programs, Empathy, Team Leadership, Collaboration, Problem Solving, Adaptability
Specialization
Candidates must have an active Pharmacy License and Immunization Certification, with no pending felony charges related to controlled substances. A Bachelor of Science in Pharmacy or Pharm. D. degree is preferred.
Radiologic Technologist - Diagnostic Radiology - WIP - Overnights at VCU Health
Richmond, Virginia, United States - Full Time
Skills Needed
Radiography, Patient Care, Data Collection, Documentation, Quality Assurance, Collaboration, Radiographic Procedures, Safety Standards, Technical Standards, Image Processing, Equipment Operation, Protocol Adjustment, Professional Development, Research, Communication, Assessment
Specialization
Candidates must be certified by the American Registry of Radiology Technologists (ARRT) or obtain certification within the first 90 days of hire. Basic Life Support (BLS for Healthcare Providers) certification is also required.
Director of Data & Analytics at Gifthealth
Columbus, Ohio, United States - Full Time
Skills Needed
Data Architecture, Data Engineering, Analytics Delivery, Business Intelligence, Cloud Based Platforms, Data Governance, Healthcare Analytics, Team Leadership, Data Modeling, Performance Measurement, Operational Optimization, Data Privacy, Advanced Analytics, Customer Success, Pharmacy Operations, Sales Performance
Specialization
Candidates should have over 10 years of experience in data and analytics, with at least 5 years in a leadership role. A strong background in cloud-based analytics platforms and the ability to translate complex business needs into scalable solutions is essential.
Experience Required
Minimum 10 year(s)
Performance Marketing Manager (3-5 Yrs) at BabyMD at 2070Health
Bengaluru, karnataka, India - Full Time
Skills Needed
Performance Marketing, Digital Marketing, Google Ads, Meta, Analytics, Campaign Management, A/B Testing, Collaboration, Budget Management, Conversion Tracking, Crm Platforms, Communication Skills, Project Management, Adaptability, Trend Spotting, Creativity
Specialization
Candidates should have 3-5 years of experience in performance marketing, preferably in digital-first companies. Strong analytical skills and proficiency in tools like Google Analytics and campaign management platforms are essential.
Experience Required
Minimum 2 year(s)
Lab Support Technician I at SSM Health
Oklahoma City, Oklahoma, United States - Full Time
Skills Needed
Phlebotomy, Clerical Duties, Customer Service, Specimen Processing, Data Entry, Record Keeping, Communication, Attention To Detail
Specialization
A high school diploma or equivalent is required, along with no prior experience. The role involves physical tasks such as lifting and data entry.
Store Manager in Training at CVS Health
San Diego, California, United States - Full Time
Skills Needed
Communication, Customer Care, Merchandising Strategies, Inventory Management, Leadership, Team Engagement, Sales Growth, Service Excellence
Specialization
Candidates must 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.
Pharmacy Technician at CVS Health
Lakeport, California, 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 Procedures, Active Listening
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.
Store Associate at CVS Health
Houston, Texas, United States - Full Time
Skills Needed
Customer Service, Cashier Duties, Inventory Management, Teamwork, Compassion, Problem Solving, Communication, Sales Floor Maintenance, Pharmacy Support, Loyalty Programs, Greeting Customers, Visual Acuity, Retail Experience, Time Management, Attention To Detail
Specialization
Candidates must be at least 16 years old and able to lift up to 35 lbs. A high school diploma is preferred but not required, and previous retail or customer service experience is advantageous.
Operations Manager-CA at CVS Health
Colton, California, 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
Specialization
Candidates must possess advanced analytical and communication skills, along with leadership and supervision abilities. A high school diploma or equivalent is required, and experience as a retail manager or supervisor is preferred.
Engineer at IKS Health
Navi Mumbai, maharashtra, India - Full Time
Skills Needed
Python, React, Javascript, Django, Fastapi, React.Js, React Hooks, Redux, Sql, Ci/Cd, Docker, Agile, Restful Apis, Problem Solving, Communication, Collaboration
Specialization
Candidates should have 2 to 4 years of experience in full-stack development with strong proficiency in Python and React. Familiarity with relational databases and CI/CD pipelines is also required.
Experience Required
Minimum 2 year(s)
Patient Access Representative (32 hrs) at SSM Health
Madison, Wisconsin, United States - Full Time
Skills Needed
Patient Communication, Scheduling, Clerical Duties, Insurance Coordination, Data Entry, Problem Solving
Specialization
A high school diploma or equivalent is required, or 10 years of work experience. No prior experience is necessary for this role.
Staff RN - OhioHealth Emergency Department Flex Team at OhioHealth
Columbus, Ohio, United States - Full Time
Skills Needed
Nursing, Patient Care, Assessment, Diagnosis, Planning, Implementation, Evaluation, Leadership, Process Improvement, Collaboration, Communication, Critical Thinking, Bls Certification, Registered Nurse License, Ohio Nurse Practice Act, Multidisciplinary Team
Specialization
Candidates must have a Bachelor of Science in Nursing (BSN) and a current Registered Nurse license from the State of Ohio, along with BLS certification. A minimum of one year of nursing experience is required.
Experience Required
Minimum 2 year(s)
RN Charge Nurse - Emergency Department - Weekends Only at SSM Health
Oklahoma City, Oklahoma, United States - Full Time
Skills Needed
Leadership, Patient Care, Staff Management, Collaboration, Performance Evaluation, Patient Assessment, Quality Outcomes, Complaint Management, Education, Communication, Nursing, Emergency Care, Clinical Objectives, Safety, Training, Development
Specialization
Candidates must be graduates of an accredited nursing school and have at least one year of registered nurse experience. They must also hold relevant certifications such as BLS and RN licensure in Oklahoma.
Experience Required
Minimum 2 year(s)
RN Medical Surgical Full time Nights at SSM Health
Baraboo, Wisconsin, United States - Full Time
Skills Needed
Nursing Care, Patient Advocacy, Assessment Data Collection, Care Plan Development, Intervention Implementation, Patient Education, Collaboration, Communication, Leadership, Evidence Based Practice, Cultural Sensitivity, Holistic Care, Mentorship, Health Promotion, Quality Improvement, Safety Awareness
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 respective state of employment.
Senior Coordinator Complaint Appeals Operations at CVS Health
Cacao, French Guiana, France -
Full Time

Start Date

Immediate

Expiry Date

07 Mar, 26

Salary

35.29

Posted On

07 Dec, 25

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Verbal Communication, Written Communication, Customer Service, Medicare Knowledge, Research Skills, Analysis Skills, Project Management, Training, Coaching, Claims Processing, Problem Solving, Attention to Detail, Regulatory Knowledge, Workflow Documentation, Quality Review, Trend Identification

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. Position Summary Responsible for managing to resolution appeal scenarios for all products, which contain multiple issues and may require coordination of responses from multiple business units. Appeals are typically more complex and may require outreach and deviation from standard processes to complete. Develop into a subject matter expert by providing training, coaching, or responding to complex issues. May have contact with outside plan sponsors or regulators. Research and resolves incoming electronic appeals as appropriate as a “single-point-of-contact” based on type of appeal. Can identify and reroute inappropriate work items that do not meet complaint/appeal criteria as well as identify trends in misrouted work. Assemble all data used in making denial determinations and can act as subject matter expert with regards to unit workflows, fiduciary responsibility and appeals processes and procedures. Research standard plan design, certification of coverage and potential contractual deviations to determine the accuracy and appropriateness of a benefit/administrative denial. Can review a clinical determination and understand rationale for decision. Able to research claim processing logic and various systems to verify accuracy of claim payment, member eligibility data, billing/payment status, and prior to initiation of the appeal process. Coordinates efforts both internally and across departments to successfully resolve claims research, SPD/COC interpretation, letter content, state or federal regulatory language, triaging of complaint/appeal issues, and similar situations requiring a higher level of expertise. Identifies trends and emerging issues and reports on and gives input on potential solutions. Delivers internal quality reviews, provides appropriate support in third party audits, customer meetings, regulatory meetings and consultant meetings when required. Understands and can respond to Executive complaints and appeals, Department of Insurance, Department of Health or Attorney General complaints or appeals on behalf of members or providers as assigned. Required Qualifications Excellent verbal and written communication skills. Excellent customer service skills. Medicare knowledge/experience. Preferred Qualifications 1-2 years Medicare part C Appeals experience. Experience in reading or researching benefit language in SPDs or COCs. Experience in research and analysis of claim processing a plus. Demonstrated ability to handle multiple assignments competently, accurately and efficiently. Experience documenting workflows and reengineering efforts. Project management skills are preferred. Education High School Diploma Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $18.50 - $35.29 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. 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: 12/31/2025 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
Manage appeal scenarios for all products, coordinating responses from multiple business units. Research and resolve incoming electronic appeals, acting as a subject matter expert on workflows and appeals processes.
Senior Coordinator Complaint Appeals Operations at CVS Health
Cacao, French Guiana, France - Full Time
Skills Needed
Verbal Communication, Written Communication, Customer Service, Medicare Knowledge, Research Skills, Analysis Skills, Project Management, Training, Coaching, Claims Processing, Problem Solving, Attention To Detail, Regulatory Knowledge, Workflow Documentation, Quality Review, Trend Identification
Specialization
Excellent verbal and written communication skills are required, along with Medicare knowledge or experience. Preferred qualifications include 1-2 years of Medicare Part C Appeals experience and experience in researching benefit language.
Pharmacy Technician at CVS Health
North Kingstown, Rhode Island, 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 effective communication are essential for success in this role.
Store Manager in Training at CVS Health
Columbus, Ohio, United States - Full Time
Skills Needed
Communication, Customer Care, Merchandising Strategies, Inventory Management, Leadership, Team Engagement, Sales Growth, Problem Solving
Specialization
Candidates must 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.
Pharmacy Tecnician at CVS Health
, , 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.
Store Manager in Training at CVS Health
Tuscaloosa, Alabama, United States - Full Time
Skills Needed
Communication, Customer Care, Merchandising Strategies, Inventory Management, Leadership, Team Engagement
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.
Medical Assistant Certified/Registered at SSM Health
Saint Peters, Missouri, United States - Full Time
Skills Needed
Patient Care, Vital Signs, Clerical Duties, Materials Management, Documentation, Communication, Record Keeping, Scheduling, Transcribing Orders, Basic Life Support, Medical Assistance, Teamwork, Attention To Detail, Time Management, Safety Awareness, Customer Service
Specialization
Candidates must have a high school diploma or GED, or 10 years of work experience. Certification as a medical assistant is required in certain states, along with basic life support certification.
Staff Pharmacist FT at CVS Health
Owensboro, Kentucky, United States - Full Time
Skills Needed
Patient Safety, Pharmacy Professional Practice, Regulatory Requirements, Quality Assurance, Customer Service, Personnel Management, Inventory Management, Financial Profitability, Loss Prevention, Workflow Management, Patient Care Programs, Empathy, Team Leadership, Collaboration, Problem Solving, Adaptability
Specialization
Candidates must have an active Pharmacy License and Immunization Certification, with no pending felony charges related to controlled substances. A Bachelor of Science in Pharmacy or Pharm. D. degree is preferred.
Radiologic Technologist - Diagnostic Radiology - WIP - Overnights at VCU Health
Richmond, Virginia, United States - Full Time
Skills Needed
Radiography, Patient Care, Data Collection, Documentation, Quality Assurance, Collaboration, Radiographic Procedures, Safety Standards, Technical Standards, Image Processing, Equipment Operation, Protocol Adjustment, Professional Development, Research, Communication, Assessment
Specialization
Candidates must be certified by the American Registry of Radiology Technologists (ARRT) or obtain certification within the first 90 days of hire. Basic Life Support (BLS for Healthcare Providers) certification is also required.
Director of Data & Analytics at Gifthealth
Columbus, Ohio, United States - Full Time
Skills Needed
Data Architecture, Data Engineering, Analytics Delivery, Business Intelligence, Cloud Based Platforms, Data Governance, Healthcare Analytics, Team Leadership, Data Modeling, Performance Measurement, Operational Optimization, Data Privacy, Advanced Analytics, Customer Success, Pharmacy Operations, Sales Performance
Specialization
Candidates should have over 10 years of experience in data and analytics, with at least 5 years in a leadership role. A strong background in cloud-based analytics platforms and the ability to translate complex business needs into scalable solutions is essential.
Experience Required
Minimum 10 year(s)
Performance Marketing Manager (3-5 Yrs) at BabyMD at 2070Health
Bengaluru, karnataka, India - Full Time
Skills Needed
Performance Marketing, Digital Marketing, Google Ads, Meta, Analytics, Campaign Management, A/B Testing, Collaboration, Budget Management, Conversion Tracking, Crm Platforms, Communication Skills, Project Management, Adaptability, Trend Spotting, Creativity
Specialization
Candidates should have 3-5 years of experience in performance marketing, preferably in digital-first companies. Strong analytical skills and proficiency in tools like Google Analytics and campaign management platforms are essential.
Experience Required
Minimum 2 year(s)
Lab Support Technician I at SSM Health
Oklahoma City, Oklahoma, United States - Full Time
Skills Needed
Phlebotomy, Clerical Duties, Customer Service, Specimen Processing, Data Entry, Record Keeping, Communication, Attention To Detail
Specialization
A high school diploma or equivalent is required, along with no prior experience. The role involves physical tasks such as lifting and data entry.
Store Manager in Training at CVS Health
San Diego, California, United States - Full Time
Skills Needed
Communication, Customer Care, Merchandising Strategies, Inventory Management, Leadership, Team Engagement, Sales Growth, Service Excellence
Specialization
Candidates must 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.
Pharmacy Technician at CVS Health
Lakeport, California, 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 Procedures, Active Listening
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.
Store Associate at CVS Health
Houston, Texas, United States - Full Time
Skills Needed
Customer Service, Cashier Duties, Inventory Management, Teamwork, Compassion, Problem Solving, Communication, Sales Floor Maintenance, Pharmacy Support, Loyalty Programs, Greeting Customers, Visual Acuity, Retail Experience, Time Management, Attention To Detail
Specialization
Candidates must be at least 16 years old and able to lift up to 35 lbs. A high school diploma is preferred but not required, and previous retail or customer service experience is advantageous.
Operations Manager-CA at CVS Health
Colton, California, 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
Specialization
Candidates must possess advanced analytical and communication skills, along with leadership and supervision abilities. A high school diploma or equivalent is required, and experience as a retail manager or supervisor is preferred.
Engineer at IKS Health
Navi Mumbai, maharashtra, India - Full Time
Skills Needed
Python, React, Javascript, Django, Fastapi, React.Js, React Hooks, Redux, Sql, Ci/Cd, Docker, Agile, Restful Apis, Problem Solving, Communication, Collaboration
Specialization
Candidates should have 2 to 4 years of experience in full-stack development with strong proficiency in Python and React. Familiarity with relational databases and CI/CD pipelines is also required.
Experience Required
Minimum 2 year(s)
Patient Access Representative (32 hrs) at SSM Health
Madison, Wisconsin, United States - Full Time
Skills Needed
Patient Communication, Scheduling, Clerical Duties, Insurance Coordination, Data Entry, Problem Solving
Specialization
A high school diploma or equivalent is required, or 10 years of work experience. No prior experience is necessary for this role.
Staff RN - OhioHealth Emergency Department Flex Team at OhioHealth
Columbus, Ohio, United States - Full Time
Skills Needed
Nursing, Patient Care, Assessment, Diagnosis, Planning, Implementation, Evaluation, Leadership, Process Improvement, Collaboration, Communication, Critical Thinking, Bls Certification, Registered Nurse License, Ohio Nurse Practice Act, Multidisciplinary Team
Specialization
Candidates must have a Bachelor of Science in Nursing (BSN) and a current Registered Nurse license from the State of Ohio, along with BLS certification. A minimum of one year of nursing experience is required.
Experience Required
Minimum 2 year(s)
RN Charge Nurse - Emergency Department - Weekends Only at SSM Health
Oklahoma City, Oklahoma, United States - Full Time
Skills Needed
Leadership, Patient Care, Staff Management, Collaboration, Performance Evaluation, Patient Assessment, Quality Outcomes, Complaint Management, Education, Communication, Nursing, Emergency Care, Clinical Objectives, Safety, Training, Development
Specialization
Candidates must be graduates of an accredited nursing school and have at least one year of registered nurse experience. They must also hold relevant certifications such as BLS and RN licensure in Oklahoma.
Experience Required
Minimum 2 year(s)
RN Medical Surgical Full time Nights at SSM Health
Baraboo, Wisconsin, United States - Full Time
Skills Needed
Nursing Care, Patient Advocacy, Assessment Data Collection, Care Plan Development, Intervention Implementation, Patient Education, Collaboration, Communication, Leadership, Evidence Based Practice, Cultural Sensitivity, Holistic Care, Mentorship, Health Promotion, Quality Improvement, Safety Awareness
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 respective state of employment.