Reporting Appeal Analyst

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Position Summary
Responsible for analyzing complex data, reporting trends and provide recommendations for process improvement. Will also investigate, resolve, and report on insurance claim disputes, provider grievances, and coverage appeals to ensure compliance with regulatory standards.
Required Qualifications

• 1-2 years reporting and analyzing data.
• 2-3 plus years knowledge of plan documents, claims research, letter writing.
• 2-3 plus years working with appeals, claims, or compliance (and/ or)
• 2-3 plus years experience working with documenting and interpreting Health Insurance plans.
• Understand Excel and Word.
• Able to interpret benefits.
• Healthcare experience.

Preferred Qualifications

• 3 plus years of prior claim or health insurance experience. 
• Familiarity with medical terminology, self funding or ERISA requirements.

Education

• High School Diploma or equivalent GED.

Anticipated Weekly Hours

Time Type

Pay Range

The typical pay range for this role is:

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.  The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.  This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base 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 offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

Additional details about available benefits are provided during the application process and on Benefits Moments.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.