
10,000+ employees
Founded 1963
🏥 Healthcare
⚕️ Healthcare Insurance
🛒 Retail
Healthcare • Healthcare Insurance • Retail
CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.
🔥 3 hours ago
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10,000+ employees
Founded 1963
🏥 Healthcare
⚕️ Healthcare Insurance
🛒 Retail
Healthcare • Healthcare Insurance • Retail
CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.
• Support the daily processing of appeals in the Par Provider Dental Appeals • Complete appeals determination letters • Prepare dental requests • Update systems • Complete reporting as necessary • Collaborate with clinical support staff, including Medical Directors, Nurses, and Providers • Move cases in the MedHok system • Manage complaint and appeal scenarios for dental products through resolution • Coordinate responses from multiple business units • Ensure timely, provider-focused responses to complaints and appeals • Identify trends and emerging issues • Report findings and recommend solutions
• Comprehends contemporary dental care standards, practices, and procedures • Possesses high level of technical knowledge and radiograph interpretation skills • If certified or licensed, maintains required continuing education requirements • Vocational school or college level training beyond high school • CDA, RDA, or RDH with at least five years clinical experience • Ability to comply with turnaround times and regulatory standards • Ability to use the MedHok system • Ability to coordinate responses across multiple business units
• CVS Health bonus, commission or short-term incentive program in addition to base pay • Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being, based on eligibility
Apply Now🔥 3 hours ago
DRG Quality Analyst reviewing inpatient coding audits for EXL, a healthcare data analytics and digital operations company. Mentoring auditors and improving audit quality.
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