Coordinator, Complaint & Appeals Operations, CVS Health

CVS Health

Location:
United States, Work At Home

Category:
Customer Service

Contract Type:
Employment contract

Salary:

17.00 - 31.30 USD / Hour

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Job Description:

Prepares information and reports needed to address matters regarding complaints, appeals, and grievances. Carries out policies, procedures, and programs to ensure compliance with federal and/or state regulations.

Job Responsibility:

Reviews and processes appeals and grievances filed by patients
Assists with adherence to regulatory requirements
Conducts internal audits
Addresses compliance issues with Complaint and Appeals policies and procedures
Conducts reviews of decisions and case files
Drafts and sends appeal decision letters
Identifies key performance indicators and metrics
Documents patient billing questions and concerns
Prepares educational materials and training programs
Coaches junior colleagues on best practices
Assists with training of junior-level staff

Requirements:

Less than 1 year work experience
Working knowledge of problem solving and decision making skills
High school diploma or equivalent
Must live in IL

What we offer:

Affordable medical plan options
401(k) plan with matching company contributions
Employee stock purchase plan
Wellness screenings
Tobacco cessation programs
Weight management programs
Confidential counseling
Financial coaching
Paid time off
Flexible work schedules
Family leave
Dependent care resources
Colleague assistance programs
Tuition assistance
Retiree medical access

Additional Information:

Job Posted:
October 29, 2025

Expiration:
November 28, 2025

Employment Type:

Fulltime

Work Type:

Remote work

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Coordinator, Complaint & Appeals Operations

CVS Health

Location:United States, Work At Home

Category:Customer Service

Contract Type:Employment contract