Grievance Analyst - Caseworker

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CVS Health

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Retail • Pharmacy Benefits Management • Health Insurance • Health Care • Pharmacy

10,000+

Description

• Researching, resolving, and communicating issues related to Medicare Part D coverage. • Working cross-functionally with different departments. • Outreach to members with resolutions. • Maintaining quality standards and turnaround times. • Documenting issues and solutions in the database. • Closing grievances cases daily, 15-20 per week.

Requirements

• 2 plus years of experience in a customer service role. • Experience with several computer applications and complex databases, including Microsoft Office (Excel, Word, Outlook). • Previous experience in Pharmacy Benefit Management (PBM) or pharmaceutical industry preferred. • Previous Med D grievance experience preferred. • Bachelor's Degree preferred.

Benefits

• Full range of medical, dental, and vision benefits. • 401(k) retirement savings plan. • Employee Stock Purchase Plan for eligible employees. • Fully-paid term life insurance plan for eligible employees. • Short-term and long-term disability benefits. • Numerous well-being programs and education assistance. • Free development courses. • CVS store discount and discount programs with participating partners. • Paid Time Off (PTO) and paid holidays throughout the year.