Meritain Pharmacy Solutions Member Appeal Coordinator
$46.99k - $122.4kCVS Health
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. 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. If this sounds like you, please apply! 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 Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $46,988.00 - $122,400.00 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. 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. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. CVS Health is an equal opportunity/affirmative action employer, including Disability/Protected Veteran — committed to diversity in the workplace. #J-18808-Ljbffr CVS Health
$18.33 - $30.55 per hour
...colleagues with high ethical standards. The Appeals and Grievances Coordinator is the primary point of contact for members, providers, and clients throughout the... ...other or competing ideas in search of a workable solution for all parties. Minimum Qualifications:...SuggestedHourly payWork at officeLocal areaRemote workFlexible hoursShift work$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- .... Reviews all State Fair Hearing requests by members and providers, pulls case files, meets with Grievance & Appeals Manager for further review and action, which may... ...disputes. May attend State Fair Hearings. Coordinates and assists the Grievance & Appeals Manager in...SuggestedWork experience placement
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...divh2Senior Complaints Coordinator - FDO Escalations/h2pWork from home opportunity with Capital One Customer Operations. This role offers... ...individual issues, guide co-workers in problem solving and solutions when needed, and identify trends in customer needs/liliDemonstrate...Full timePart timeWork at officeLocal areaWork from homeHome officeFlexible hours- ...Coordinator, Scheduling & Team Member Support Player 15 Group – the sports & entertainment brand behind the Phoenix Suns (NBA), Phoenix Mercury (WNBA), Valley Suns (G League), and Mortgage Matchup Center — is redefining the industry standard. Headquartered in downtown...Part timeWork experience placementNight shiftWeekend work
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...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:...Hourly payFull timeTemporary workWork experience placementWork at officeLocal areaRemote workMonday to FridayFlexible hoursShift work$21.4 - $30.6 per hour
...to deliver best‑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...Hourly payFull timeTemporary workLocal areaImmediate startRemote workMonday to FridayFlexible hoursShift work$25 - $30 per hour
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$100k - $120k
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...general guidance or technical assistance to less experienced team members Anticipated hourly range: $16.75 per hour - $21.75 per hour... .... We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic...Hourly payTemporary workLocal areaImmediate startRemote workFlexible hours- ...and security company. The Inspection Coordinator is responsible for supporting existing customer... ...needs and recommend appropriate solutions. Develop and maintain a pipeline of sales... ...working relationships with team members. Other duties as assigned by management...Full timeTemporary workImmediate start
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- ...Registration Coordinator Phoenix, Arizona St Joseph's Outpatient SC (11102) Category Business... ...calls. What We Offer As a valued member of USPI, your health and well-being are... ...to provide first-class ambulatory solutions throughout the United States. We are committed...Full timeWork at officeFlexible hours
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...Coordinator, Plan Documents Vestwell is the financial technology company powering the new... ...timely completion of each Support Team members by performing duties as assigned... ...processes, contribute ideas, and iterate on solutions as needed Strong, demonstrated commitment...Interim roleWork at office$90k - $110k
...advanced engineering and innovative technology solutions, trusted by the United States and its... ...across all 7 continents. Proposal Coordinator Senior supports the Proposal Manager... ...PleaseReview; trains and assists proposal team members in use of the proposal template and...Hourly payContract workWork experience placementLocal area- ...comprehensive resources to deliver collaborative solutions for our partners' energy infrastructure... ...Description The Sr. Materials Coordinator oversees the full lifecycle of materials... ...to interact effectively with team members across multiple departments. Physical...Contract workWork at officeLocal area
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...student-centered English Language (EL) Coordinator to lead and support our English Learner... ...documentation, and follow-through Is solution-oriented, adaptable, and proactive Enjoys... ..., families, staff, and community members with dignity, kindness, and respect....Full timeLocal area- ...a highly organized Oncology Scheduling Coordinator to support the coordination of care for... ...by anticipating challenges and finding a solution to ensure smooth operations. • Proven... ...while collaborating effectively with team members. • Excellent customer service skills....Weekend work
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- ...team. Overview A detail-oriented, organized Multimedia Coordinator will serve as a key member of the creative team in the marketing department. This... ...basic, turn-key projects, coming to your manager with solutions, options, and recommendations. Results-oriented with ability...Start working todayWork at officeLocal area
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...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$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- Every day, our team members do amazing things in pursuit of our shared purpose to build... ...experiences, you belong at HITT. Senior Proposal Coordinator Job Description: Responsibilities Lead... ...submissions. Develop and implement solutions that improve the functionality and...Work experience placementFor subcontractorWork at office
$16.75 - $21.75 per hour
...dispute resolution. Job Summary The Senior Coordinator, Prior Authorization is responsible for... ...assistance to less experienced team members Anticipated hourly range: $16.75 per hour... ...of our differences to create better solutions for our customers by ensuring employees...Hourly payContract workTemporary workWork experience placementLocal areaImmediate startRemote workMonday to FridayFlexible hours
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