• Complaint & Appeals Coordinator (Must reside…

    CVS Health (Phoenix, AZ)


    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.

     

    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.

    Position Summary

    + Verify caller enrollment status with Mercy Care Plan.

    + Collect and document accurate demographic information from members or callers, as well as from Mercy Care systems.

    + Confirm details such as whether members receive special assistance (applicable to members with serious mental illness).

    + Utilize the QuickBase database to complete intake forms, ensuring documentation of members' reasons for calling is thorough and precise.

    + Provide empathetic and compassionate support to all callers.

    + Assist with special projects as assigned.

    Required Qualifications

    + Must reside in Arizona.

    + At least 6 months of experience with Medicare and Medicaid programs.

    + At least 6 months of experience with behavioral health systems related to individuals with serious mental illness.

    + Proficiency with typing and basic computer knowledge.

    + Ability to navigate multiple systems to retrieve data during calls.

    + Ability to critically assess the information provided by callers to ensure completeness and accuracy.

    Preferred Qualifications

    + Resides in Maricopa or Pinal Counties, Arizona.

    + Excellent communication skills.

    + Strong critical thinking skills.

    + Ability to multitask and stay organized.

    Education

    + High school diploma or GED.

     

    Anticipated Weekly Hours

     

    40

     

    Time Type

     

    Full time

     

    Pay Range

    The typical pay range for this role is:

    $17.00 - $28.46

     

    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.

     

    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.

     

    Great benefits for great people

     

    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:

     

    + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** .

    + **No-cost programs for all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.

    + **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.

     

    For more information, visit https://jobs.cvshealth.com/us/en/benefits

     

    We anticipate the application window for this opening will close on: 11/13/2025

     

    Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

     

    We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.