Grievance & Appeals, Sr. Coordinator

We are seeking an experienced and customer-oriented Grievance & Appeals Senior Coordinator to join our CVS Health team. In this position, you will be responsible for resolving escalated conflicts, managing appeals and grievances, and providing overall customer satisfaction.The ideal candidate will have strong interpersonal and problem-solving skills, as well as a commitment to providing excellent customer service. A successful applicant will also be knowledgeable of healthcare regulations, have a strong attention to detail, and possess excellent organizational and communication skills. If you are looking for an opportunity to use your customer service and organizational skills in a meaningful way, then this may be the perfect position for you.

Responsibilities:

1. Resolve escalated conflicts and manage customer grievances and appeals.
2. Provide excellent customer service to ensure customer satisfaction.
3. Remain knowledgeable of current healthcare regulations.
4. Exercise strong attention to detail.
5. Demonstrate excellent organizational and communication skills.
6. Develop strategies to reduce customer grievances and appeals.
7. Facilitate communication between customers, internal departments, and external partners.
8. Review customer grievances and appeals documents and determine appropriate courses of action.
9. Prepare and submit reports on grievances and appeals.
10. Monitor customer feedback and update procedures accordingly.

According to JobzMall, the average salary range for a Grievance & Appeals, Sr. Coordinator is $55,000 to $75,000 per year. This salary range is based on the current job market and the experience of the candidate. The salary range can vary based on the geographic location, the size of the organization, the industry, and the level of responsibility of the role.

CVS Health Corp. engages in the provision of health care services. It operates trough the following segments: Pharmacy Services, Retail or Long Term Care, and Corporate. The Pharmacy Services segment offers pharmacy benefit management solutions. The Retail or Long Term Care segment includes selling of prescription drugs and assortment of general merchandise. The Corporate segment involves in providing management and administrative services.