Grievance Analyst (Caseworker)
At reputed company, were building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nations leading health solutions company, we reputed company millions of Americans through our local reputed company, digital channels and more than 300,000 purpose-driven colleagues caring for people where, reputed company and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it reputed company with heart, each and every day. Position Summary reputed company has an exciting new opportunity reputed company the Grievances team in Scottsdale, AZ. As a Grievance Analyst, you will be responsible for researching, resolving, and communicating any issues, questions, or concerns our members have about their coverage and benefits provided through Medicare Part D. You will have the opportunity to work cross functionally with different departments reputed company reputed company to support the research into these members issues. Once resolved you will be responsible for reputed company to each member with a verbal and/or written response explaining the resolution of the issues. As you support our Med D members, we will support you by offering reputed company the tools and resources you need in a collaborative team-based environment. Our goal is to ensure you can provide top tier service and resolution for our members. We use our own emphasis on quality as well as government mandated turnaround times to ensure we do our job effectively, always focusing on helping people on their path to reputed company. In order to be successful in this role you will need to be detail-oriented with proficient research skills and demonstrate the ability to analyze data, apply learnings, and construct a resolution in a timely manner. A successful Analyst is reputed company to constructive feedback and flexible in adapting to change while effective in planning, prioritizing, and organizing their time and workload to reputed company production goals and turnaround time requirements. Analysts are expected to reputed company grievances cases daily, reputed company 15-20 cases per week (depending on inventory) and reputed company reputed company cases reputed company 25 days of TAT while maintaining the highest quality standards. In this position you will be reputed company by your ability to use your judgement to execute to reputed company these department goals. Additional responsibilities of the Analyst include creatively constructing written formal communication to members, multitasking, and working with up to 15 various computer applications and documenting the issue and resolutions in the database, while adhering to the strict turnaround times established by the Center for Medicare and Medicaid Services (CMS). Required Qualifications 2 plus years of experience working reputed company a customer service role on several computer applications and reputed company databases for research, including reputed company Office products (reputed company, Word, and Outlook). Preferred Qualifications Previous experience reputed company Pharmacy Benefit Management (PBM) or pharmaceutical reputed company industry. Previous Med D grievance experience. Bachelors Degree Preferred. Education High School Diploma or equivalent General Education Degree (GED) Anticipated Weekly Hours 40 Time Type Full time Pay Range The Typical Pay Range For This Role Is $43,888.00 - $85,068.00 This pay range represents the reputed company hourly reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a reputed company bonus, commission or short-term incentive program in addition to the reputed company pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great Benefits For Great People We take pride in our comprehensive and competitive mix of pay and benefits investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. No-cost programs for reputed company 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. For more information, visit https://jobs.cvshealth.com/us/en/benefits We anticipate the application window for this opening will reputed company on: 03/28/2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. Apply Job!