Intake Coordinator, Regulatory Resolution Team

Regulatory Resolution Team Member

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.

The Regulatory Resolution Team is responsible for responding to highly sensitive and visible regulatory inquiries and complaints. This team is responsible for delivering thorough reviews, advocacy, risk analysis, and collaborative resolutions that uphold regulatory compliance and drive member satisfaction. These inquiries require elite execution, precision, and compliance with state and federal regulations, internal operations and company policies. The RRT's work is critical to protecting the organization's reputation and maintaining trust with members, regulatory bodies and stakeholders.

Responsibilities include:

• Timely monitoring and review of department mailboxes and regulatory state portals to appropriately document and assign member and provider regulatory complaints and inquiries
• Confirming complaint issue meets the definition of a regulatory case for assignment
• Primary phone agent for RRT phone line
• Screening complaints using all available systems (e.g. GPS, CATS, ECHS)
• Responding to insurance verifications from state regulators
• Working collaboratively across multiple internal stakeholders and analysts

Required Qualifications

• 1-3 years of work experience
• Healthcare industry experience required
• Working knowledge of problem solving and decision-making skills
• Strong organizational skills and attention to detail
• Ability to manage multiple tasks and meet deadlines in a fast-paced environment

Preferred

• Experience in a legal, regulatory, or compliance-related environment
• Ability to prioritize in a fast-paced environment
• Experience with case intake, complaint management, or regulatory workflows

Education

High School Diploma

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$17.00 - $31.30

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.

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.

This full-time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.