Job Description
Job Description
The Medicare Grievance Analyst will be responsible for fully investigating and resolving oral and written grievances received for all products.
The grievance may contain multiple issues and may require coordination of responses from multiple business units. Must ensure timely, customer focused response to complaints, both oral and written. Identify trends and emerging issues and report and recommend solutions.
SO PIAB: Our Complaint & Appeals colleagues have opportunities to grow in and outside of our business unit with opportunities for advancement from a Provider Analyst to Member Analyst to Sr Analyst. There are paths to progression through our Skill Progression guide. We want to see you excel!
Pay Range
The typical pay range for this role is:
Minimum: 17.00
Maximum: 27.16
Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will take into account a wide range of factors, including location.
Required Qualifications
* Customer Service (in person or over the phone) experience
* Experience with handling customer phone calls and elevated issues
* Experience with writing customer responses in an easy to understand way
* Experience with troubleshooting complex customer problems
* Must be able to manage time off appropriately and avoid using unscheduled time
Preferred Qualifications
* General Medicare experience
* Medicare grievance experience
* Experience researching customer problems
* Overtime may be required during different times of the year
Education
The highest level of education desired for candidates in this position is a Bachelors degree or equivalent experience.
Business Overview
Bring your heart to CVS Health Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver. 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. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.
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