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Our Heart At Work Behaviors support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.
Position Summary
CVS Health has an exciting new opportunity within the Delegated Grievances team in Scottsdale, AZ. As a Grievance Analyst, you will be responsible for performing triage and assignment of Medicare Part D grievance cases. As part of case triage, you will perform the initial review of grievances to determine whether or not the case is valid, requires a coverage determination or if access to care outreach is needed, among other things. The triage review performed by the Analyst in this position is critical for ensuring successful CMS and client audit results, as well as member satisfaction. After triage is completed, you will be responsible for assigning the case to a grievance caseworker based on department guidelines. The Analyst will also be responsible for reporting case trends to leadership so they can be addressed with internal partners. Lastly, this position will also include providing support to various operational teams within the Grievance department, as needed. This may include working grievance cases, quality review, reviewing member calls and making member outreach.
To be successful in this role you will need to be proficient in navigating Microsoft Word and Excel, detail-oriented along with having strong research skills. A successful Analyst is receptive to constructive feedback and flexible in adapting to change while effective in planning, prioritizing, and organizing their time and workload to achieve turnaround time requirements. The Analyst must have excellent analytical skills, the ability to multitask and be able to perform triage & assignment quickly, while focusing on quality.
Required Qualifications
- 1 plus years of experience working within a customer service role on several computer applications, including Microsoft Office products (Excel, Word, and Outlook).
Preferred Qualifications
- Previous experience within Pharmacy Benefit Management (PBM) or pharmaceutical related industry.
- Bachelor’s Degree
Education
High School Diploma or equivalent GED
Pay Range
The typical pay range for this role is: $43,888.00 - $76,500.00. 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. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long-term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.
For more detailed information on available benefits, please visit Benefits | CVS Health
We anticipate the application window for this opening will close on: 10/25/2024.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
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