Senior Coordinator, Complaint and Appeals (Remote)

Clinical Careers Page(1 month ago)

RemoteFull TimeSenior$37,000 - $70,580Complaints and Appeals

About this role

A Senior Coordinator, Complaint and Appeals at CVS Aetna supports the daily operations of the Commercial Member Clinical Appeals (CMCA) team. This full-time remote role contributes to the management of member appeals and grievance workflows within a health insurance environment and operates on a standard Monday–Friday schedule.

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Required Skills

Appeals Processing
Case Management
Report Generation
Clinical Collaboration
Fax Triage
Regulatory Compliance
Communication
Multitasking
Microsoft Office
Data Entry

Qualifications

High School Diploma

About Clinical Careers Page

cvshealth.com

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.

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