Senior Coordinator, Complaints and Appeals - Harrisburg, PA

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. · Responsible for managing to resolution appeal scenarios for all products which contain multiple issues and ...

Responsible for managing to resolution appeal scenarios for all products which contain multiple issues and may require coordination of responses from multiple business units. · ...

We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safe ...

Manages to resolution appeal scenarios for all products, containing multiple issues and requiring coordination of responses from multiple business units. · ...

We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safe ...

We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. · 1-2 years Medicare part C Appeals experience. · Experience in reading or researching benefit language in SPDs or COCs. · ...

Manage to resolution appeal scenarios for all products and research incoming electronic appeals. · ...

We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. · At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize sa ...

We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience.At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safet ...

We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. · Research and resolves incoming electronic appeals as appropriate as a 'single-point-of-contact' based on type of appeal. · Can identify and rero ...

We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safe ...

· Position Description · Base pay is influenced by several factors including a candidate's qualifications, relevant experience, and anticipated contributions to meet the needs of the business, along with internal pay equity and external market-driven rates. The salary range disp ...

The primary role of this position is to provide support for the Civil Law Division. Assignments are received through the Attorney Resource Center (ARC) Ticketing system from Civil Law Division attorneys and investigators as needed. · Types documents from handwritten draft, from e ...

The Specialist is responsible for identifying reviewing and analyzing policy procedure issues providing recommendations solutions Ensures compliance with organizational CMS other regulatory requirements Appeals cover topics pertaining to enrollment billing benefits claims for var ...

+Job SummaryThe 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. ...

The primary role of this position is to provide support for the Civil Law Division. Assignments are received through the Attorney Resource Center (ARC) Ticketing system from Civil Law Division attorneys and investigators as needed. · ...

· Position Information · Section: Attorney Resource Center/Civil Law Division · Class: Legal Assistant I/II · Location: Pittsburgh · Telework: Following necessary training, you may have the opportunity to telework up to 3 days per week. This position will require you to report t ...

The Customer Service Representative is the face of Aetna and impacts members' service experience by manner of how customer service inquiries and problems via telephone, internet or written correspondence are handled. · ...

The primary role of this position is to provide support for the Civil Law Division.Assignments are received through the Attorney Resource Center (ARC) Ticketing system from Civil Law Division attorneys and investigators as needed. · Work entails the performance of legal clerical ...

The Specialist is responsible for identifying, reviewing and analyzing policy and procedure issues and providing recommendations for solutions. · Rearches and analyzes customer redetermination and reconsideration requests. · ...