CVS Health · 16 hours ago

Grievance Analyst (Caseworker)

Phoenix, AZ

Full-time

Remote

Entry, Mid Level

$44K/yr - $76K/yr

2+ years exp

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Responsibilities

Researching, resolving, and communicating any issues, questions, or concerns our members have about their coverage and benefits provided through Medicare Part D

Working cross functionally with different departments within CVS Health to support the research into these members’ issues

Outreach to each member with a verbal and/or written response explaining the resolution of the issues

Closing grievances cases daily

Closing 15-20 cases per week (depending on inventory)

Closing all cases within 25 days of TAT while maintaining the highest quality standards

Creatively constructing written formal communication to members

Multitasking

Working with up to 15 various computer applications and documenting the issue and resolutions in the database

Adhering to the strict turnaround times established by the Center for Medicare and Medicaid Services (CMS)

Qualification

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Data AnalysisMicrosoft OfficePharmacy Benefit ManagementMed D Grievance Experience

Required

2 plus years of experience working within a customer service role on several computer applications and complex databases for research, including Microsoft Office products (Excel, Word, and Outlook).