CVS Health · 17 hours ago
Senior Coordinator, Complaint and Appeals (Remote)
United States
Full-time
Remote
Mid, Senior Level
$18.50/hr - $35.29/hr
1+ years expCVS Health is dedicated to building a world of health around every individual, and they are seeking a Senior Coordinator, Complaint and Appeals to join their remote team. In this role, you will support the daily operations of the Commercial Member Clinical Appeals team by processing appeal determination letters and managing intake requests.
Health CareMedicalPharmaceuticalRetailSales
Responsibilities
Processing appeal determination letters, managing intake and expedited requests, updating internal systems, and generating reports
Supporting panel hearings and collaborating with clinical staff (Medical Directors, Nurses, Providers, etc)
Additional duties involve triaging incoming faxes and managing case movement within the Complaints and Appeals Tracking System (CATS)
Completing tasks in accordance with regulatory standards and required turnaround times
This is a full-time telework position with standard hours of Monday–Friday, 8:00 AM to 5:00 PM (local time)
Occasional weekend and holiday on-call coverage may be required
Qualification
Required
Strong written and verbal communication skills
Ability to manage multiple tasks efficiently
Proficiency in Microsoft Office Suite and basic computer skills
High School Diploma required
Preferred
1–2 years of experience in healthcare appeals, grievances, or a related administrative role
1+ year working in a healthcare setting (e.g., insurance, hospital administration, or clinical support)
Experience with the appeals process or related work
Benefits
Affordable medical plan options
401(k) plan (including matching company contributions)
Employee stock purchase plan
No-cost programs for all 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
Company
CVS Health
CVS Health is a health solutions company that provides an integrated healthcare services to its members.
10001+ employees
Funding
Current Stage
Public CompanyTotal Funding
$4BKey Investors
Michigan Economic Development CorporationStarboard Value
2025-08-15Post Ipo Debt· $4B
2025-07-17Grant· $1.5M
2019-11-25Post Ipo Equity
Leadership Team
David Joyner
President and Chief Executive Officer, CVS Health
Chandra McMahon
SVP & CISO
Recent News
The Journal Record
2026-01-23
2026-01-23
Company data provided by crunchbase