At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.Position Summary
The Appeal Supervisor (Meritain Health) develops and manages a team, in an effort to address matters regarding complaints and appeals, ensuring compliance with federal and/or state regulations. Leads the development of policies, procedures, and programs to ensure compliance with policies of all applicable federal and/or state government agencies.In this role, you will:
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- Manage the overall workflow of appeals as assigned.
- Provide coaching & mentoring for a team of several analysts, specifically involving the handling of reviews.
- Ensure that any & all compliance deadlines are adhered to and met.
- Assist in updating any relevant policies and procedures.
- Handle various escalated items, specifically related to appeals.
- 3+ years of experience working with appeals, including knowledge of job aids and workflows.
- 2+ years of experience leading a team.
- Working knowledge of Microsoft Office products (Word, Excel, PowerPoint, Outlook).
- 2+ years of experience working with audits.
- 2+ years of experience in training others.
- Product knowledge and experience with Appeals Regulatory Requirements.
- Strong communication skills, particularly with the ability to provide and receive feedback.
- Excellent time management skills.
- Ability to work collaboratively across teams.
- Strong analytical skills, focusing on accuracy and attention to details.
- Bachelor's degree.
- High school diploma or GED.
40Time Type
Full timePay Range
The typical pay range for this role is:$43,888.00 - $102,081.00This 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.Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.Great benefits for great peopleWe take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
- Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
- No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
- Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.