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Coordinator, Complaint & Appeals Ops

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Harrisburg, Pennsylvania - PA CVS Health

Job Ref:  R0229160
Employer:  CVS Health
Category:  Insurance
Job Type:  Full Time

Location

State:  Pennsylvania - PA
City:  Harrisburg
Post Code:  17101
Map: 
Pennsylvania , Harrisburg, 17101 (Show on map)

Description

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.

Position Summary
Responsible for the day-to-day implementation of Aetna's appeal policies and procedures. identifies trends and issues; reports on and recommends solutions. Accountable for meeting the financial, operational and quality objectives of the unit. Work in a fast paced environment to oversee the resolution of appeals, meeting the internal and external regulatory guidance.

Required Qualifications
We will be looking for candidates with strong communication and organization skills.

Preferred Qualifications
Experience with Medicare.

Education
High School Diploma

Pay Range

The typical pay range for this role is:
$17.00 - $28.45
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.

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 jobs.CVSHealth.com/benefits
We anticipate the application window for this opening will close on: 05/24/2024
ref: (R0229160)
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