<p>At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.</p> <p>As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.</p> <p>Position Summary</p> <p>CVS Health has an exciting new opportunity within the Delegated Grievances team in Scottsdale, AZ. As a Grievance Analyst, you will be responsible for performing quality reviews on Medicare Part D grievance First Call Resolution cases to ensure the cases are resolved according to regulatory requirements and meet the highest expectations for a positive member experience. As part of the case review, you will determine if the case was documented accurately, if thorough research was completed and whether full resolution was provided to the member. If the case does not meet all requirements for a complete and accurate resolution of the case, it will be forwarded to a grievance caseworker to complete the resolution. The quality review performed by the Analyst in this position is critical for ensuring successful CMS and client audit results, as well as member satisfaction. The Analyst will also be responsible for reporting error trends to leadership so they can be addressed with internal partners. Lastly, this position will also include providing support to various operational teams within the Grievance department, as needed. This may include working grievance cases, reviewing member calls, and supporting grievance triage and assignment.</p> <p>To be successful in this role you will need to be proficient in navigating Microsoft Word and Excel, detail-oriented along with having strong research skills. A successful Analyst is receptive to constructive feedback and flexible in adapting to change while effective in planning, prioritizing, and organizing their time and workload to achieve turnaround time requirements. The Analyst must have excellent analytical skills, the ability to multitask and be able to perform reviews quickly, while focusing on quality.</p> <p>Required Qualifications</p> <ul> <li>2 plus years of experience working within a customer service role on several computer applications and complex databases for research, including Microsoft Office products (Excel, Word, and Outlook). </li></ul> <p>Preferred Qualifications</p> <ul> <li>Previous experience within Pharmacy Benefit Management (PBM) or pharmaceutical related industry. </li><li>Previous Med D grievance experience. </li><li>Bachelors Degree Preferred. </li></ul> <p>Education</p> <p>High School Diploma or equivalent General Education Degree (GED)</p> <p>Anticipated Weekly Hours</p> <p>40</p> <p>Time Type</p> <p>Full time</p> <p>Pay Range</p> <p>The typical pay range for this role is:</p> <p>$43,888.00 - $85,068.00</p> <p>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.</p> <p>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.</p> <p>Great benefits for great people</p> <p>We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:</p> <ul> <li> <p>Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.</p> </li><li> <p>No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.</p> </li><li> <p>Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.</p> </li></ul> <p>For more information, visit https://jobs.cvshealth.com/us/en/benefits</p> <p>We anticipate the application window for this opening will close on: 05/21/2025</p> <p>Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.</p>