CVS Health · 19 hours ago
Medicare Executive Resolution Analyst
United States
Full-time
Remote
Entry Level
$21.10/hr - $40.90/hr
1+ years expCVS Health is dedicated to building a world of health around every individual, and they are seeking a Medicare Executive Resolution Analyst. This role involves reviewing and responding to Medicare executive member complaints and appeals, working with subject matter experts to resolve issues effectively.
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Responsibilities
Reviewing and responding to Medicare executive member complaints/appeals that are sent to the CEO, President, one of their direct reports as well as Better Business Bureau (BBB) and Congressional inquiries
Working with dedicated subject matter experts to fully resolve the issue
Covering a phone line that is open Monday – Friday from 8am to 6pm, in which approximately 2 to 3 hours of shifts will be assigned
Qualification
Required
1+ year of experience in Medicare customer service
1+ year of experience with tools associated with appeals and claim processing (i.e. CATS, ECHS, GPS, SCM, WEB CCI, Plan Sponsor Tool, AST, Claims X-ten, e.Policies, IOP, etc
Must have background in Aetna's systems/workflows
Ability to prioritize and manage multiple cases in a fast-paced environment
Preferred
Excellent written and verbal communication skills
2-5 years of experience in Medicare operations, appeals, grievances, or escalated member complaint resolution
Strong attention to detail and quality assurance mindset
Benefits
Affordable medical plan options
401(k) plan (including matching company contributions)
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.
Company
CVS Health
CVS Health is a health solutions company that provides an integrated healthcare services to its members.
10001+ employees
Funding
Current Stage
Public CompanyTotal Funding
$4BKey Investors
Michigan Economic Development CorporationStarboard Value
2025-08-15Post Ipo Debt· $4B
2025-07-17Grant· $1.5M
2019-11-25Post Ipo Equity
Leadership Team
David Joyner
President and Chief Executive Officer, CVS Health
Chandra McMahon
SVP & CISO
Recent News
The Journal Record
2026-01-23
2026-01-23
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