Senior Coordinator, Complaint & Appeals - Remote

📋 Description

• • Senior Coordinator, Complaint & Appeals role at CVS Health Corporation focused on resolving complex complaint and appeal scenarios across all products, ensuring timely, customer-focused responses while identifying trends and recommending solutions.
• • Day-to-day responsibilities include managing complaint/appeal resolution involving multiple issues and business units, analyzing claim platforms and benefit language, conducting regulatory and compliance analysis, and reporting emerging issues to drive process improvements.
• • CVS Health is a mission-driven organization building a more connected, convenient, and compassionate health experience, where colleagues innovate with purpose, prioritize safety and quality, and work to simplify healthcare for individuals, families, and communities.
• • In this role, you will develop expertise in healthcare claims, regulatory compliance, patient management, and cross-functional coordination, gaining valuable experience in complaint resolution processes that directly impact member satisfaction and operational excellence.