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
$46.99k - $122.4k
CVS Health in Albany, NY is looking for a Member Appeal Coordinator to engage with patients about their medication inquiries and assist them in... ...have a minimum of 2 years of experience as a Certified Pharmacy Technician and be comfortable speaking with both patients...SuggestedFull time$19.01 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$24.75 - $29.7 per hour
...you are ready to join a company that truly cares about its employees, our members, and our community then you have come to the right place! Summary of Role: The Member Experience Coordinator enables the Member Experience (MX) team to consistently deliver internal...SuggestedWork at office$22 - $26 per hour
...accessing Liberty’s complaints, appeals, and grievance processes.... ...events accurately in Health Solutions Plus (HSP). Manage telephone... ...enrollees on the Liberty Care Coordination Program. Research and respond... ...with internal teams such as Member Services, Provider Relations,...SuggestedHourly payLive inWork at officeImmediate startRemote workRelocationVisa sponsorshipFlexible hours$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...Hourly payFull timeTemporary workWork experience placementWork at officeLocal areaImmediate startRemote workMonday to FridayFlexible hoursShift work- ...Description: Summary: The Transition Coordinator will work in support of the Hospital to... ...health care managers to ensure that all members who are hospitalized leave with... ...effectively. Develop and implement new solutions that enhance the efficiencies within the...Local areaImmediate startRemote work
$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... ...through pre-RFP through post-award. Coordinates the internal flow and review of proposal...For contractorsH1bWork at officeLocal areaRemote work$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$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$68k - $71k
Travel-required Position Store Display Coordinator leads a project team of 8 - 20 people and... ...operations by directing and informing team members. Team members must unload merchandise... ...ability to see implications and provide solutions and recommendations Must be able to interpret...Full timeWork experience placementRelocationNight shift- ...organization and the Capital Region by coordinating volunteer-led projects, conducting research... ...program. Become an ACE AmeriCorps VISTA Member and be a part of something bigger than... ...management systems; identify and propose solutions for the volunteer management team....Full timeRelocation package
$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$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...Temporary workWork experience placementLocal areaImmediate startFlexible hours$30.05 - $43.75 per hour
...(BMC) provides a specialty pharmacy service to serve the complex... ...Pharmacy Medication Access Coordinator Department: Specialty Pharmacy... ...access and develop solutions to improve patient adherence... ...offering assistance to other team members, adjusting assignments, etc....Full timeFixed term contractInternshipWork at officeFlexible hours$30.05 - $43.75 per hour
...(BMC) provides a specialty pharmacy service to serve the complex... ...Liaisons, and Medication Access Coordinators. The cornerstone of BMC's... ...the clinic Motivate team members by training, mentoring and providing... ...and providing workable solutions to complex problems...Full timeFixed term contractInternshipWork at officeFlexible hours$89k
...Integrated Pest Management Tick and School IPM Coordinator The College of Agriculture and Life... ...to identify needs and deliver impactful solutions. This position is a non‑tenure track... ...campus extension staff, advisory committee members, funders, and agency cooperators. Share...Full timeWork experience placementWork at officeLocal areaWorldwideFlexible hours$44 - $66.6 per hour
Overview Nursing Coordinator - Magnet Program for Samaritan Hospital FT Days 8hr shifts EXEMPT... ...physicians, nurses, healthcare team members and leadership. Demonstrated leadership... ...multidisciplinary expertise for innovative solutions. Computer Competency Familiarity with standard...Hourly payFull timeLocal areaShift workDay shift- ...looking for an organized and proactive Scheduling & Workflow Coordinator to support daily operations by managing schedules, coordinating... ...completed accurately and on time Communicate with clients and team members to gather and confirm details Track updates, monitor...Remote work
$70.07k - $108.61k
...Salary Range: $70,068.00 - $108,605.00 The pre-transplant coordinator works with the transplant team to manage patients that are active... ...regulated by Federal and New York State statutes. Workforce members are expected to ensure that: Access to information is based...Shift workDay shift$20 - $23 per hour
...Staffing Coordinator (Albany, NY / Hybrid) FreedomCare is a healthcare company that has been dedicated to revolutionizing the home care... ...request ensuring that we always do the right thing for our members. Every Day You Will: Work with our patients, caregivers...Full timeWork at office3 days per week$85k - $90k
...Description of Duties: The NYS Pyramid Model Regional Coordinators will serve as regional leaders responsible for implementing the... ...implementation process, as well as recruit and supervise state-approved members of the Professional Development Network of full-time trainers,...Full timeContract workImmediate start- ...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
$51.76k - $77.63k
Practice Coordinator - Urology page is loaded## Practice Coordinator - Urologylocations: 23 Hackett Blvd Albany, NY 12208time type: Full... ...information regulated by Federal and New York State statutes. Workforce members are expected to ensure that:Access to information is based on...Shift work$51.76k - $77.63k
Practice Coordinator - Neurology Department page is loaded Practice Coordinator - Neurology Department Apply locations 43 New Scotland Avenue... ...regulated by Federal and New York State statutes. Workforce members are expected to ensure that: Access to information is based on...Full timeShift work- A leading data solutions company is seeking an Agency Partnerships - Health professional based in the NYC area. This role focuses on... ...agency relationships, client services, and cross-functional coordination. Ideal candidates will have 1-3 years of experience in client...3 days per week
$85.09k - $98.9k
Job Description Release Coordinator Senior Make meaningful contributions that fuel critical outcomes for some of the most complex government... .... Ability to work in a team environment with multiple team members, as well as productively as an individual. A strong...Temporary workWork at officeFlexible hours$54.69k - $82.04k
Academic Coordinator - Practice Administration page is loaded## Academic Coordinator - Practice Administrationlocations: 66 Hackett Blvd... ...information regulated by Federal and New York State statutes. Workforce members are expected to ensure that:Access to information is based on...Work at officeShift work- ...asset and consider our employees as family. We value each team member’s contribution and offer a supportive, collaborative work... ...on certain loan products, and much more! About The Appraisal Coordinator Role In this pivotal, entry‑level position within the financial...Full timeApprenticeshipWork at officeMonday to FridayWeekend workAfternoon shift
$111.1k - $152.7k
.... Our impact: We transform intangible ideas into innovative solutions designing the future - today. If you thrive in a fast‑paced,... ...responsibilities include: Designing wireless systems in iBwave and EDX Coordinating with BIM designers to create drawing packages Coordinating...Full timeWork at office
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