Senior Grievance Analyst - Case Reviewer
Yesterday
Description
• Review grievance resolutions to ensure compliance with CMS guidelines. • Mentor caseworkers and support audit functions. • Perform quality reviews and provide feedback on grievance letters. • Support process improvement initiatives and interdepartmental training. • Proficient in Microsoft Word and Excel, strong research skills required.
Requirements
• 2 plus years of experience in customer service roles. • Experience with Microsoft Office products (Excel, Word, Outlook). • Previous Med D grievance experience. • Advanced knowledge of grievance processes. • Preferred: experience in Pharmacy Benefit Management or pharmaceutical industry. • Preferred Education: Bachelor’s Degree or equivalent.
Benefits
• Full range of medical, dental, and vision benefits. • 401(k) retirement savings plan. • Employee Stock Purchase Plan. • Fully-paid term life insurance. • Short-term and long-term disability benefits. • Well-being programs. • Education assistance. • Free development courses. • CVS store discount. • Paid Time Off (PTO) or vacation pay. • Paid holidays throughout the calendar year.
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