Job Description
Medicare Grievance Sr. Coordinator
remote type
Remote
locations
PA – Work from home
time type
Full time
job requisition id
R0123120
Job Description:
Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand with heart at its center our purpose sends a personal message that how we deliver our services is just as important as what we deliver.
Our Heart At Work Behaviors support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.
Position Summary
This is a work at home opportunity for candidates located in any state.
At Aetna, a CVS Health Company, we are joined in a common purpose; helping people on their path to better health. We are working to transform healthcare through innovations that make quality care more accessible, easier to use, less expensive and patient focused.
Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.
We are committed to maintaining a diverse and inclusive work environment. CVS Health is an equal opportunity and affirmative action employer. WE do not discriminate in recruiting, hiring or promotion based on race ethnicity, gender, gender identity, age, disability or protected veteran status. We proudly support and encourage people with military experience.
The Medicare Grievance Sr. Coordinator will fully research and resolve beneficiary complaints. These complaints can include various issues and may require coordination with various departments in order to fully reach resolution. Responses must be timely and include member focused solutions in both written and oral format.
Ideal candidates will have Medicare knowledge, customer service experience, attention to detail and the ability to multi task. Production and quality goals will align to time in the position.
Colleagues have opportunities to grow in the complaints business unit with opportunities for advancement via documented skill progression paths.
Required Qualifications
Customer Service skills
Experience handling customer service phone calls and elevated issues
Ability to document resolution in written communication to members in a professional and easy to understand manner
Experience troubleshooting complex customer problems
Attention to detail
Ability to work across various departments as necessary to establish the root cause and resolution of the issue
Ability to toggle between multiple applications
Ability to juggle caseload effectively
Preferred Qualifications
Customer Service skills
Experience handling customer service phone calls and elevated issues
Ability to document resolution in written communication to members in a professional and easy to understand manner
Experience troubleshooting complex customer problems
Attention to detail
Ability to work across various departments as necessary to establish the root cause and resolution of the issue
Ability to toggle between multiple applications
Ability to juggle caseload effectively
Education
The highest level of education desired for candidates is a bachelor s degree or equivalent work experience