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At CVS Health, the Regulatory Resolution Team is responsible for responding to highly sensitive and visible regulatory inquiries and complaints. This team focuses on regulatory compliance and member satisfaction while protecting the organization's reputation.
Job Responsibility:
Review and draft all responses to member and provider regulatory complaints
Work collaboratively across multiple internal stakeholders and experts to ensure accurate and complaint responses
Strategically manage complex complaints to resolution, escalating to leadership as appropriate
Ensure responses are consistent with internal policies, state and federal requirements
Ensure responses are concise, accurate and written with an eye towards the regulator recipient
Ensure responses are timely and complete, meeting all regulatory due dates
Requirements:
5+ years of experience in health care industry or regulatory environment
3+ years of experience in claim and payment policies and administration, operational, and clinical policies
Bachelors degree required or equivalent years of relevant experience
Nice to have:
Adept at execution and delivery
Adept at business intelligence
Adept at problem solving and decision making skills
Adept at collaboration and teamwork
Adept at growth mindset
What we offer:
Affordable medical plan options, a 401(k) plan (including matching company contributions), and an 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
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