Meritain Pharmacy Solutions Member Appeal Coordinator
$46.99k - $122.4kHispanic Alliance for Career Enhancement
Overview 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. Job Description Exciting role open with our Meritain Pharmacy Solutions team! Do you like to engage with patients, helping them to navigate this complex healthcare world? Do you enjoy helping members get a fair price for their high-cost medications? Do you enjoy helping members get as low of a cost for their medications, with the use of copay/financial assistance? Are you detail oriented? Are you comfortable corresponding with provider offices on patient medication inquiries? We are looking for a member appeal coordinator. The candidate must be a highly trained, certified pharmacy technician that has multiple years of experience within retail pharmacy, but also enjoys helping patients gain access to medications at the lowest cost possible. Required Qualifications 2+ years Certified Pharm Tech experience in a pharmacy setting Member Centric mentality Cost assistance experience Comfortable speaking to patients and providers Preferred Qualifications Retail Pharmacy experience within a managed care or pharmacy insurance billing Education PTCB Certificate preferred High school diploma or GED Job Details Anticipated Weekly Hours: 40 Time Type: Full time Pay Range: $46,988.00 - $122,400.00 (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.) Benefits 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. Additional details about available benefits are provided during the application process and on Benefits Moments. Application Information We anticipate the application window for this opening will close on: 05/29/2026 EEO Statement Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. #J-18808-Ljbffr Hispanic Alliance for Career Enhancement
$46.99k - $122.4k
...Alliance for Career Enhancement in Providence, RI, is seeking a Member Appeal Coordinator. In this full-time role, you will engage with patients to... ...lowest cost possible. The ideal candidate is a certified pharmacy technician with at least 2 years of experience. The...SuggestedFull time$19.39 per hour
...effective and efficient delivery of Pharmacy call center services. Serves... ...authorizations. By reviewing member claims history, clearly... ...prescription claim transitions and coordination of benefits practices/... ...representative in onsite member appeals and grievances sessions....SuggestedFor contractorsLocal area- ...divh2Enrollment Coordinator/h2pOur client, a Retail Pharmacy company, is looking for an Enrollment Coordinator for... ...payers to identify and implement solutions./liliCommunicates resolutions and... ...critical role in working with our new member clients to determine eligibility...SuggestedWork experience placement
$21.4 - $30.6 per hour
...deliver best-in-class solutions-driving brand and patient... ...-commercial specialty pharmacy is centralized at our... ..., to ensure seamless coordination of patient care and... ...prior authorization, and appeal requirements and... ...less experienced team members TRAINING AND WORK SCHEDULES...SuggestedHourly payFull timeTemporary workLocal areaImmediate startRemote workMonday to FridayFlexible hoursShift work$21.4 - $30.6 per hour
...us to deliver best-in-class solutions—driving brand and patient markers... ...Our non-commercial specialty pharmacy is centralized at our custom-... ...Prior Authorizations, Appeals, etc. All avenues to obtain coverage... ...to less experienced team members TRAINING AND WORK SCHEDULES...SuggestedHourly payFull timeTemporary workWork experience placementWork at officeLocal areaImmediate startRemote workMonday to FridayFlexible hoursShift work$20.96 - $34.61 per hour
...SUMMARY: The Property Management Work Order Coordinator reports to the Manager Facilities Planning and Operations... ...authority escalating issues to appropriate staff member. Communicates with management to provide solutions and opportunities to resolve customer/tenants...For contractorsWork at officeShift work$22.3 - $28.8 per hour
...ensure productivity standards are met. - Coordinate workloads across multiple specialties... ...potential problems and provides effective solutions for team Works independently to... ...Provides guidance to less experienced team members Anticipated hourly range: $22.30 -...Hourly payTemporary workLocal areaImmediate startFlexible hours$18.2 - $29.7 per hour
Coordinator, Managed Care, Credentialing What Managed Care contributes to Cardinal Health Practice... ...Credentialing Supervisor and other team members to provide updates on progress and... ...power of our differences to create better solutions for our customers by ensuring employees...Hourly payTemporary workWork experience placementLocal areaImmediate startFlexible hours- Summary The Accounts Receivable Coordinator is responsible for daily office operations and work... ...and evaluate options and implement solutions. This would include but not be limited to... ...monitoring receivable agings, preparation of appeals, review of productivity logs,...Work at office
$60k - $72k
...Group LLC (PCG) is a leading public sector solutions implementation and operations... ...change lives for the better. The firm is a member of a family of companies with experience... ...support through pre‑RFP through post‑award. Coordinates the internal flow and review of proposal...For contractorsH1bWork at officeLocal area- Brown University Health is seeking a Pharmacy Coordinator for Oncology and Sterile Compounding at Rhode Island Hospital. This role involves overseeing operations related to oncology and compounded sterile products, ensuring compliance with pharmacy regulations, and providing...Full time
$74.2k - $129.8k
THIS OPPORTUNITY SGT PROPOSAL COORDINATOR, PROPERTY & BUILDINGS (P4) WSP is seeking a full-... ...provide oversight of work of other team members. Other duties as assigned. REQUIRED QUALIFICATIONS... ...professionals. WSP USA designs lasting solutions in the buildings, transportation, energy...Full timeWork at officeLocal areaFlexible hours- ...understanding of the requirements for this role. Responsible for coordinating and maintaining surgical schedules for the practice.... ...transactions. Care New England Health System (CNE) and its member institutions, Butler Hospital, Women & Infants Hospital, Kent...Work at office
$23.11 - $38.16 per hour
...SUMMARY: The EOHS Onboarding Coordinator will be responsible for providing administrative, onboarding, and respirator fit-testing support to the EOHS function collaborating with other team members.. Reporting to EOHS Manager and in partnership with Talent Acquisition...Flexible hoursShift work$19.5 - $26 per hour
...Price Rite - CGO/Scanning Coordinator (PRRC) Salary Range $19.50 - $26.00/hr Location: CRANSTON, RI (PriceRite of CRANSTON) Job... ...and be happy"! We want everything you do as a Price Rite Team Member to support that purpose and our overall values. On your journey...Temporary workSummer workLocal areaImmediate startFlexible hours- ...office Schedule: 20/40 Part Time Evenings Every Other Weekend / Every Other Holiday Care New England Health System (CNE) and its member institutions: Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center,...Contract workPart timeWork at officeWeekend workAfternoon shift
- ...culture. What You'll Be Doing: The Coordinator, UM Intake at Evolent provides support... ...records with the ability to locate and verify member details. (Required) ~ Familiarity with... ...to differentiate between medical and pharmacy prior authorization requests. (Required)...Immediate startRemote work
$23 per hour
...approval statuses, and address any rejections or reductions. Coordinate and facilitate client onboarding, including setting up new matters... ...or without notice. Behaviors Team Player - Works well as a member of a group Detail Oriented - Capable of carrying out a given task...Hourly payContract workWork at office$90k - $110k
Proposal Coordinator Senior The Proposal Coordinator Senior supports the Proposal Manager with proposal development activities, including... ...for SharePoint and PleaseReview; trains and assists team members in using the proposal template and electronic collaboration tools...Contract workWork experience placementLocal area$18.5 - $38.82 per hour
...for the Providership - Senior Coordinator role at CVS Health Join to... ...the nation’s leading health solutions company, we reach millions of... ...required tasks to enroll pharmacies in private, state, federal and... ...reflect the customers, patients, members and communities we serve and...Hourly payFull timeContract workTemporary workWork experience placementLocal areaRelocationFlexible hours- ...approximately 28 days later. Vessel ECO Edison Responsibilities Coordinate activities onboard the SOV, scheduling team drop off and... ...requirements compliance with PPE policies, working with HSE team members on findings, investigations and safety pushes Ensure...Contract workFor contractorsShift work
- Roger Williams University - Providence School-Based Coordinator Reporting to the Dean of Extension School, the Providence School-Based Coordinator... ...established timeframes, including distribution of mail to all members of the department. Ensure all student docket filing is...Daily paidFull timeContract workWork at office
- Job Description BIM / VDC Coordinator (Mechanical Construction - Mid to Senior Level) A BIM/VDC Coordinator is responsible for supporting... ...to translate design intent into practical, buildable solutions. They will maintain model integrity, manage file structures and...For contractorsWork at officeImmediate start
- ...business language; maintain SSOT. Cross‑Practice Integration: Coordinate with Problem, Change, Release, Service Continuity, and SOC/... ...management tools, IT service management platforms, and monitoring solutions used to manage major incidents and produce operational and...Contract workWork experience placementWork at officeShift work
- ...Education of Young Children Job Description Job Title: Data Systems Coordinator FLSA Status: Exempt Regular/Temp: Grant-funded, regular,... ...Professional skill set for collaborating with and supporting members of a team. Outstanding communication skills; excellent...Temporary workWork at officeRemote work
$20.96 - $34.61 per hour
SUMMARY The pediatric site/office coordinator reports to the Practice Manager or Clinical Manager and is responsible for assisting with... ...duties that are coordinated with administrative and business team members. Must be flexible and receptive to change with the ability to...Daily paidWork at officeFlexible hoursShift work$83.53k - $167.04k
...Reporting to Clinical Manager (or designee) The Structural Heart Coordinator coordinates all services/systems required for an organized... ...Effectively explains and educates patients and/or family members about the procedures. Teaches based upon assessment, expressed...Work experience placementShift work$17 - $31.3 per hour
...Insurance Ar Resolution Coordinator We're building a world of health around every individual... ...(RCM), supporting CVS Retail Pharmacies, has an opportunity for a full-time Insurance... ...teams reflect the customers, patients, members and communities we serve and we are...Remote jobHourly payFull timeTemporary workWork at office- ...Description Job Description What will you do as an Access Center Coordinator The Access Center Coordinator provides timely, and... ...different levels of hospice care. · Communicates with team members, patients, and their families regarding the status of DME supplies...Daily paidFull timePart timeFlexible hoursWeekend work
- ...performance tracking systems Develop and implement reporting systems Develop and implement program evaluation tools Serve as a member of internal RHTP teams as necessary to ensure compliance with RHTP requirements and alignment with RHTP objectiv es...Apprenticeship3 days per week
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