Medicare Executive Resolution Analyst, CVS Health

Medicare Executive Resolution Analyst

CVS Health

Location:
United States, Work at Home

Category:
Customer Service

Contract Type:
Employment contract

Salary:

21.10 - 40.90 USD / Hour

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Job Description:

The Medicare Executive Resolution Analyst is responsible for reviewing and responding to Medicare executive member complaints/appeals that are sent to the CEO, President, one of their direct reports as well as Better Business Bureau (BBB) and Congressional inquiries. You will be working with dedicated subject matter experts to fully resolve the issue.

Job Responsibility:

Reviewing and responding to Medicare executive member complaints/appeals that are sent to the CEO, President, one of their direct reports as well as Better Business Bureau (BBB) and Congressional inquiries
Working with dedicated subject matter experts to fully resolve the issue
Covering a phone line that is open Monday – Friday from 8am to 6pm, in which approximately 2 to 3 hours of shifts will be assigned

Requirements:

1+ year of experience in Medicare customer service
1+ year of experience with tools associated with appeals and claim processing (i.e. CATS, ECHS, GPS, SCM, WEB CCI, Plan Sponsor Tool, AST, Claims X-ten, e.Policies, IOP, etc.)
Must have background in Aetna's systems/workflows
Ability to prioritize and manage multiple cases in a fast-paced environment
High School Diploma or higher

Nice to have:

Excellent written and verbal communication skills
2-5 years of experience in Medicare operations, appeals, grievances, or escalated member complaint resolution
Strong attention to detail and quality assurance mindset

What we offer:

Affordable medical plan options
401(k) plan with matching company contributions
Employee stock purchase plan
Wellness screenings
Tobacco cessation and weight management programs
Confidential counseling and 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:
November 12, 2025

Expiration:
November 22, 2025

Employment Type:

Fulltime

Work Type:

Remote work

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