Senior Coordinator, Complaint & Appeals

Clinical Careers Page(1 month ago)

ArizonaOnsiteFull TimeMedior$37,000 - $70,580Claims Appeals

About this role

An Appeals Specialist at CVS Health supports the company’s healthcare operations by managing complex member and provider appeals across benefit products. The role acts as a knowledgeable point of contact across business units and contributes to quality, audit, and regulatory activities while supporting accurate benefit determinations and member experience.

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Required Skills

Appeals Management
Claims Research
Benefit Interpretation
Customer Service
Communication
Leadership
Workflow Documentation
Regulatory Compliance
Clinical Review

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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