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Analyst, Medicare Product Operations at CVS Health - ApplyBlast

Analyst, Medicare Product Operations

CVS Health

3 months ago

3.2 on Glassdoor

Scottsdale, Arizona, United States

Onsite

Full Time

Medior

0 applicants

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About this role

The analyst will conduct thorough reviews of member requests for Medicare Advantage supplemental benefit coverage, make organization determinations, and ensure compliance with CMS regulations. The role involves communicating decisions, handling appeals and grievances, and collaborating with cross‑functional teams to support operational and special projects.

Responsibilities

Conduct and document Medicare supplemental benefit determinations
Review and respond to appeals and grievances
Collaborate with cross‑functional teams to gather information and ensure compliance

Skills

About CVS Health

cvshealth.com

Headquarters

Woonsocket, Rhode Island, United States

Company Size

10001+ employees

Founded

1963

View Profile

CVS Health is America's leading health solutions company, providing integrated services across retail pharmacy (CVS Pharmacy), pharmacy benefits management (CVS Caremark), and health insurance (Aetna). The company offers pharmacy services, health plans, clinical care (including MinuteClinic), and health-and-wellness programs for consumers, employers, and government payers. By combining a large national retail footprint with claims processing, care management, and clinical services, CVS Health aims to coordinate care, lower costs, and improve health outcomes. Businesses and consumers use its solutions for medication management, plan administration, and in-person and virtual care.