Appeal Supervisor, CVS Health

CVS Health

Location:
United States, Work At Home, Florida

Category:
Customer Service

Contract Type:
Employment contract

Salary:

43888.00 - 102081.00 USD / Year

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Job Description:

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. 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.

Job Responsibility:

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.

Requirements:

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).

Nice to have:

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.

What we offer:

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 including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access.

Additional Information:

Job Posted:
June 05, 2025

Expiration:
June 16, 2025

Employment Type:

Fulltime

Work Type:

Remote work

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Appeal Supervisor