Senior Coordinator, Complaint & Appeals
Clinical Careers Page(1 month ago)
About this role
This position is part of CVS Health’s appeals and grievance team handling escalated appeals across health insurance products. The role supports compliance with federal and state regulations and serves as a point of contact for leadership and regulators while contributing to trend identification and reporting.
Required Skills
- Appeals Handling
- Regulatory Knowledge
- Case Research
- Policy Interpretation
- Claims Analysis
- Trend Reporting
- Coaching
- Communication
- Organization
- Compliance
Qualifications
- High School Diploma or GED
About Clinical Careers Page
cvshealth.comCVS 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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