Senior Analyst, Appeals and Complaints

Job not on LinkedIn

🔥 18 hours ago

🦌 Connecticut – Remote

🦌 Connecticut – Remote

💵 $47k - $112.2k / year

⏰ Full Time

🟠 Senior

🧐 Analyst

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CVS Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1963

⚕️ Healthcare Insurance

🛒 Retail

🧘 Wellness

Healthcare Insurance • Retail • Wellness

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.

📋 Description

• Focus on coordinating expedited resolution of root cause corrective actions • Engage with leadership team to define requirements for analyzing root causes • Review and update Quickbase records and statuses based on feedback from business partners • Lead cross-functional meetings with business partners • Deliver monthly and ad-hoc reports on status of ongoing or resolved issues • Communicates with project teams to ensure clarity of roles and responsibilities • Conducts routine collaboration with stakeholders • Administers leadership and guidance to project teams • Installs project management best practices to drive efficiency

🎯 Requirements

• Claims and/or Appeals experience required • Working knowledge of problem solving and decision making skills • Root Cause Analysis experience • MS office experience using Excel and Powerpoint • Certified Analytics Professional (CAP) preferred • Project Management Professional (PMP) preferred • Bachelor's degree required

🏖️ Benefits

• medical, dental, and vision coverage • paid time off • retirement savings options • wellness programs • resources based on eligibility