Coordinator jobs at CVS Health - 21 jobs

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 Responsible for managing to resolution appeal scenarios for all products, which contain multiple issues and may require coordination of responses from multiple business units. Appeals are typically more complex and may require outreach and deviation from standard processes to complete. May have contact with outside plan sponsors or regulators. • Research and resolves incoming electronic appeals as appropriate as a “single-point-of-contact” based on type of appeal. • Can identify and reroute inappropriate work items that do not meet complaint/appeal criteria as well as identify trends in misrouted work. • Assemble all data used in making denial determinations and can act as subject matter expert with regards to unit workflows, fiduciary responsibility and appeals processes and procedures. • Research standard plan design, certification of coverage and potential contractual deviations to determine the accuracy and appropriateness of a benefit/administrative denial. • Can review a clinical determination and understand rationale for decision. • Able to research claim processing logic and various systems to verify accuracy of claim payment, member eligibility data, billing/payment status, and prior to initiation of the appeal process. • Serves as point person for newer staff in answering questions associated with claims/customer service systems and products. Educates team mates as well as other areas on all components within member or provider/practitioner complaints/appeals for all products and services. • Coordinates efforts both internally and across departments to successfully resolve claims research, SPD/COC interpretation, letter content, state, or federal regulatory language, triaging of complaint/appeal issues, and similar situations requiring a higher level of expertise. • Identifies trends and emerging issues and reports on and gives input on potential solutions. • Delivers internal quality reviews, provides appropriate support in third party audits, customer meetings, regulatory meetings and consultant meetings when required. • Understands and can respond to Executive complaints and appeals, Department of Insurance, Department of Health, or Attorney General complaints or appeals on behalf of members or providers as assigned. Required Qualifications: - 1 years' experience in reading or researching benefit language in SPDs or COCs - Demonstrated ability to handle multiple assignments competently, accurately and efficiently. - Excellent verbal and written communication skills. - Computer navigation ability and ability to multitask. - Excellent customer service skills. - Strong Leadership skills - Experience documenting workflows and reengineering efforts. Preferred Qualifications: - 1 years of experience in research and analysis of claim processing. - 1-2 years Medicare part C Appeals experience. Education: - High School Diploma Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $18.50 - $35.29 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. 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 ***************************************** We anticipate the application window for this opening will close on: 01/23/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

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** This is a full-time field-based telework position, in Ohio. This position requires the ability to travel within the assigned region of Ohio to member homes and other requested member locations, up to 50% or more of the time. Applicants must reside in central or southeastern Ohio. Preferred counties: Ashland, Athens, Coshocton, Delaware, Fairfield, Fayette, Gallia, Guernsey, Highland, Hocking, Holmes, Jackson, Knox, Licking, Meigs, Morgan, Morrow, Muskingum, Noble, Perry, Pickaway, Pike, Richland, Ross, Vinton, Washington and Wayne. Monday-Friday 8-5pm with flexibility needed to work later to meet member needs. **Business Overview** As part of the bold vision to deliver the "Next Generation" of managed care in Ohio Medicaid, OhioRISE will help struggling children and their families by focusing on the individual with strong coordination and partnership among MCOs, vendors, and ODM to support specialization in addressing critical needs. The OhioRISE Program is designed to provide comprehensive and highly coordinated behavioral health services for children with serious/complex behavioral health needs involved in, or at risk for involvement in, multiple child-serving systems. The Case Management Coordinator utilizes critical thinking and judgment to collaborate and inform the case management process, in order to facilitate appropriate healthcare outcomes for members by providing care coordination, support and education for members through the use of care management tools and resources. **Fundamental Components:** - Be clinically and culturally competent/responsive with training and experience necessary to manage complex cases in the community across child-serving systems. - Evaluation of Members: o Through the use of care management tools and information/data review, conducts comprehensive evaluation of referred member's needs/eligibility and recommends an approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services. Identifies high risk factors and service needs that may impact member outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate. o Coordinates and implements assigned care plan activities and monitors care plan progress. - Enhancement of Medical Appropriateness and Quality of Care: o Using holistic approach consults with case managers, supervisors, Medical Directors and/or other health/behavioral health programs to overcome barriers to meeting goals and objectives; presents cases at case conferences to obtain multidisciplinary review in order to achieve optimal outcomes. o Works collaboratively with the members' Child and Family Teams. o Identifies and escalates quality of care issues through established channels. o Utilizes negotiation skills to secure appropriate options and services necessary to meet the member's benefits and/or healthcare needs. o Utilizes influencing/ motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health. o Provides coaching, information, and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices. o Helps member actively and knowledgably participate with their provider in healthcare decision-making. o Serves a single point of contact for members and assist members to remediate immediate and acute gaps in care and access. - Monitoring, Evaluation and Documentation of Care: o Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures. **Required Qualifications** + 2+ years of experience in behavioral health, social services, or human services + 2+ years of experience with personal computers, keyboard and multi-system navigation, and MS Office Suite applications (Outlook, Word, Excel, SharePoint). + 2+ years of experience in children's mental health, child welfare, developmental disabilities, juvenile justice, or a public sector human services or behavioral health care field, providing community-based services to children and youth, and their family/caregivers. + 2+ years experience in one or more of the following areas of expertise: family systems, community systems and resources, case management, child and family counseling/therapy, child protection, or child development. + 2+ year of experience with Ohio delivery systems, including local community networks and resources. + Willing and able to travel within the assigned region up to 50% of the time; Some travel to the New Albany office may be required for trainings/meetings: + Reliable transportation required + Mileage is reimbursed per our company expense reimbursement policy + Willing and able to work beyond core business hours of Monday-Friday, 8am-5pm, as needed. + Bachelor's degree or non-licensed master level clinician required + Must reside in Ohio **Preferred Qualifications** + Case management and discharge planning experience. + Managed Care experience. + Medicaid experience. **Education** Bachelor's degree or non-licensed master level clinician required, with either degree being in behavioral health, human services, health services, or public health preferred. (i.e. psychology, social work, marriage and family therapy, counseling, juvenile justice). **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $21.10 - $36.78 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 ***************************************** We anticipate the application window for this opening will close on: 01/31/2026 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.

Cardinal Health Sonexus Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient markers of success. We're continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink the reach and impact of their products. **_Responsibilities_** + Investigate and resolve patient/physician inquiries and concerns in a timely manner + Mediate effective resolution for complex payer/pharmacy issues toward a positive outcome to de-escalate + Proactive follow-up with various contacts to ensure patient access to therapy + Demonstrate superior customer support talents + Prioritize multiple, concurrent assignments and work with a sense of urgency + Must communicate clearly and effectively in both a written and verbal format + Must demonstrate a superior willingness to help external and internal customers + Working alongside teammates to best support the needs of the patient population or will transfer caller to appropriate team member (when applicable) + Maintain accurate and detailed notations for every interaction using the appropriate database for the inquiry + Must self-audit intake activities to ensure accuracy and efficiency for the program + Make outbound calls to patient and/or provider to discuss any missing information as applicable + Assess patient's financial ability to afford therapy and provide hand on guidance to appropriate financial assistance + Documentation must be clear and accurate and stored in the appropriate sections of the database + Must track any payer/plan issues and report any changes, updates, or trends to management + Handle escalations and ensure proper communication of the resolution within required timeframe agreed upon by the client + Ability to effectively mediate situations in which parties are in disagreement to facilitate a positive outcome + Concurrently handle multiple outstanding issues and ensure all items are resolved in a timely manner to the satisfaction of all parties + Support team with call overflow and intake when needed + Proactively following up with various partners including the insurance payers, specialty pharmacies, support organizations, and the patient/physician to facilitate coverage and delivery of product in a timely manner. **_Qualifications_** + 3-6 years of experience, preferred + High School Diploma, GED or technical certification in related field or equivalent experience preferred **_What is expected of you and others at this level_** + Effectively applies knowledge of job and company policies and procedures to complete a variety of assignments + In-depth knowledge in technical or specialty area + Applies advanced skills to resolve complex problems independently + May modify process to resolve situations + Works independently within established procedures; may receive general guidance on new assignments + May provide general guidance or technical assistance to less experienced team members **TRAINING AND WORK SCHEDULES:** Your new hire training will take place 8:00am-5:00pm CT, mandatory attendance is required. This position is full-time (40 hours/week). Employees are required to have flexibility to work any of our shift schedules during our normal business hours of Monday-Friday, 7:00am- 7:00pm CT. **REMOTE DETAILS:** You will work remotely, full-time. It will require a dedicated, quiet, private, distraction free environment with access to high-speed internet. We will provide you with the computer, technology and equipment needed to successfully perform your job. You will be responsible for providing high-speed internet. Internet requirements include the following: Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location. **Dial-up, satellite, WIFI, Cellular connections are NOT acceptable** . Download speed of 15Mbps (megabyte per second) + Upload speed of 5Mbps (megabyte per second) + Ping Rate Maximum of 30ms (milliseconds) + Hardwired to the router + Surge protector with Network Line Protection for CAH issued equipment **Anticipated hourly range:** $21.50 per hour - $30.70 per hour **Bonus eligible:** No **Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being. + Medical, dental and vision coverage + Paid time off plan + Health savings account (HSA) + 401k savings plan + Access to wages before pay day with my FlexPay + Flexible spending accounts (FSAs) + Short- and long-term disability coverage + Work-Life resources + Paid parental leave + Healthy lifestyle programs **Application window anticipated to close:** 3/6/2026 *if interested in opportunity, please submit application as soon as possible. The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity. _Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._ _Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._ _To read and review this privacy notice click_ here (***************************************************************************************************************************

Provides individualized service to new and existing Manufacturers/HUBs/patients in relation to their prescriptions, clinical services and program inquiries for Free Drug, Quick start, Bridge, PAP, replacement or Cash-discount programs. Responsible for processing referrals from initial approval, through verification and shipment in compliance with contractual requirements and will understand manufacturer established eligibility criteria, including but not limited to calculating household income and applicable % of Federal Poverty Guidelines (FPL), and collecting necessary financial documents from patients. **Job Responsibilities:** + Serves as the single point of contact for manufacturers and third-party HUBs relating to any patient, prescription, program or data query, while ensuring policies and procedures are followed; coordinates patient care by scheduling referrals communicating shipment information, assessing supply needs, verifying patient information, and triaging patients to a pharmacist, as appropriate. + Creates and processes through all assigned referral and order stages including re-orders received by electronic data feed, fax, mail and telephone; partner closely with manufacturer/HUB Case Managers to ensure streamlined communication and minimize service interruptions. + May perform Order Processing functions such as data entry, calling doctors' offices for Rx clarifications and updating patient medical profile. + Performs review of patient financial documents to determine FPL% (Federal Poverty Level percentage) to perform eligibility determination functions. + Creates and distributes daily Bridge Report and Quick Start reports for review of patient eligibility for department Bridge and Quick Start programs, as well as processing through all referral and order stages all Bridge and Quick Start referrals and re-order referrals. + Completes monthly benefit investigation to determine patient's eligibility for patient assistance programs (PAP), including review of patient financial documents. + Consults with the pharmacists to make them aware of any changes in a patient's condition, compliance issues or side effects and transfer patients directly to a pharmacist for counseling, as needed. + Assists with patient activities, including follow-up calls for patient's next order/refill, initiate the discharge of patient from services, contact a patient's doctor's office to schedule delivery of an order, request a letter be sent to the patient if unable to make contact and any other reminders necessary related to the patient's care. + Other responsibilities as judgment or necessity dictate. **About Walgreens** Founded in 1901, Walgreens (****************** proudly serves nearly 9 million customers and patients each day across its approximately 8,500 stores throughout the U.S. and Puerto Rico. Walgreens has approximately 220,000 team members, including nearly 90,000 healthcare service providers, and is committed to being the first choice for pharmacy, retail and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities. **Job ID:** 1722356BR **Title:** Coordinator Manufacturer Special Programs - Remote **Company Indicator:** Walgreens **Employment Type:** **Job Function:** Retail **Full Store Address:** 108 WILMOT ROAD,DEERFIELD,IL 60015 **Full District Office Address:** 108 WILMOT ROAD,DEERFIELD,IL,60015-05108-00001-Y **External Basic Qualifications:** + High school diploma or GED. + At least 1 year of experience in patient care, healthcare, retail, or customer service-oriented role. + Experience providing customer service. + Strong written and verbal communication abilities. + Ability to prioritize and manage multiple responsibilities. + Experience developing ways of accomplishing goals with little or no supervision, depending on oneself to complete objectives and determining when escalation of issues is necessary. **Preferred Qualifications:** + Must have an active pharmacy technician license or certification as required by state Board of Pharmacy. + Experience in calculating benefit usage balances, co-pays, days of supply, and other health insurance mathematical calculations. + At least 1 year of experience in patient care, healthcare, retail, or customer service oriented role + Strong attention to detail We will consider employment of qualified applicants with arrest and conviction records. An employee in this position can expect an hourly rate between $16.50 to 22.00 an hour. The actual salary will depend on experience, seniority, geographic location, and other factors permitted by law. This job posting will remain open for 5 days from the job posting date. To review benefits, please click here jobs.walgreens.com/benefits. If you are applying on a job board or unable to click on the link, please copy and paste this URL into your browser jobs.walgreens.com/benefits. **Shift:** **Store:**

**About Navista** We believe in the power of community oncology to support patients through their cancer journeys. As an oncology practice alliance comprised of more than 100 providers across 50 sites, Navista provides the support community practices need to fuel their growth-while maintaining their independence. **_What Revenue Cycle Management (RCM) contributes to Cardinal Health_** Revenue Cycle Management focuses on a series of clinical and administrative processes that healthcare providers utilize to capture, bill, and collect patient service revenue. The revenue cycle shadows the entire patient care journey and begins with patient appointment scheduling and ends when the patient's account balance is zero. Practice Operations Management oversees the business and administrative operations of a medical practice. The Collections team is responsible for the collection of outstanding accounts receivable. This includes dispute research, developing payment plans with customers, and building relationships of trust with customers and internal business partners. The Coordinator, Collections, is responsible for the timely follow-up and resolution of insurance claims. This role ensures accurate and efficient collection of outstanding balances from insurance payers, working to reduce aging accounts receivable and increase cash flow for the organization. **_Responsibilities:_** + Review aging reports and work insurance accounts to ensure timely resolution and reimbursement. + Contact insurance companies via phone, portals, or email to check claim status, request reprocessing or escalate issues. + Analyze denials and underpayments to determine appropriate action (appeals, corrections, resubmissions). + Track and follow up on all submitted appeals until resolution. + Analyze explanation of benefits (EOBs) and remittance advice to determine the reason for denial or reduced payment. + Document all collection activities in the billing system according to departmental procedures. + Follow up on unpaid claims within payer-specific guidelines and timelines. + Coordinate with other billing team members, coders, and providers to resolve claim discrepancies. + Maintain up-to-date knowledge of payer policies, coding changes, and reimbursement guidelines. + Ensure compliance with HIPAA and all relevant federal/state billing regulations. + Flag trends or recurring issues for team leads or supervisors. + Meet daily/weekly productivity goals (e.g., number of claims worked, follow-ups completed). + Assist with special projects, audits, or other duties as assigned. **_Qualifications_** + 1-3 years of experience, preferred + High School Diploma, GED or equivalent work experience, preferred + Strong knowledge of insurance claim processing and denial management preferred. + Familiarity with Medicare, Medicaid, commercial insurance plans, and managed care preferred. + Proficiency in billing software (e.g. Athena, G4 Centricity, etc.) and Microsoft Office Suite. + Excellent verbal and written communication skills. + Ability to work independently and manage time effectively. + Detail-oriented with strong analytical and problem-solving skills **_What is expected of you and others at this level_** + Applies acquired job skills and company policies and procedures to complete standard tasks + Works on routine assignments that require basic problem resolution + Refers to policies and past practices for guidance + Receives general direction on standard work; receives detailed instruction on new assignments + Consults with supervisor or senior peers on complex and unusual problems **_Anticipated Hourly Range: $15.70 - $26.10_** **_Benefits:_** Cardinal Health offers a wide variety of benefits and programs to support health and well-being. + Medical, dental and vision coverage + Paid time off plan + Health savings account (HSA) + 401k savings plan + Access to wages before pay day with my FlexPay + Flexible spending accounts (FSAs) + Short- and long-term disability coverage + Work-Life resources + Paid parental leave + Healthy lifestyle programs **Application window anticipated to close: 3/25/26** *if interested in opportunity, please submit application as soon as possible. The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity. The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity. _Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._ _Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._ _To read and review this privacy notice click_ here (***************************************************************************************************************************

Cardinal Health Sonexus™ Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient markers of success. We're continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink the reach and impact of their products. Responsibilities Investigate and resolve patient/physician inquiries and concerns in a timely manner Mediate effective resolution for complex payer/pharmacy issues toward a positive outcome to de-escalate Proactive follow-up with various contacts to ensure patient access to therapy Demonstrate superior customer support talents Prioritize multiple, concurrent assignments and work with a sense of urgency Must communicate clearly and effectively in both a written and verbal format Must demonstrate a superior willingness to help external and internal customers Working alongside teammates to best support the needs of the patient population or will transfer caller to appropriate team member (when applicable) Maintain accurate and detailed notations for every interaction using the appropriate database for the inquiry Must self-audit intake activities to ensure accuracy and efficiency for the program Make outbound calls to patient and/or provider to discuss any missing information as applicable Assess patient's financial ability to afford therapy and provide hand on guidance to appropriate financial assistance Documentation must be clear and accurate and stored in the appropriate sections of the database Must track any payer/plan issues and report any changes, updates, or trends to management Handle escalations and ensure proper communication of the resolution within required timeframe agreed upon by the client Ability to effectively mediate situations in which parties are in disagreement to facilitate a positive outcome Concurrently handle multiple outstanding issues and ensure all items are resolved in a timely manner to the satisfaction of all parties Support team with call overflow and intake when needed Proactively following up with various partners including the insurance payers, specialty pharmacies, support organizations, and the patient/physician to facilitate coverage and delivery of product in a timely manner. Qualifications 3-6 years of experience, preferred High School Diploma, GED or technical certification in related field or equivalent experience preferred What is expected of you and others at this level Effectively applies knowledge of job and company policies and procedures to complete a variety of assignments In-depth knowledge in technical or specialty area Applies advanced skills to resolve complex problems independently May modify process to resolve situations Works independently within established procedures; may receive general guidance on new assignments May provide general guidance or technical assistance to less experienced team members TRAINING AND WORK SCHEDULES: Your new hire training will take place 8:00am-5:00pm CT, mandatory attendance is required. This position is full-time (40 hours/week). Employees are required to have flexibility to work any of our shift schedules during our normal business hours of Monday-Friday, 7:00am- 7:00pm CT. REMOTE DETAILS: You will work remotely, full-time. It will require a dedicated, quiet, private, distraction free environment with access to high-speed internet. We will provide you with the computer, technology and equipment needed to successfully perform your job. You will be responsible for providing high-speed internet. Internet requirements include the following: Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location. Dial-up, satellite, WIFI, Cellular connections are NOT acceptable. Download speed of 15Mbps (megabyte per second) Upload speed of 5Mbps (megabyte per second) Ping Rate Maximum of 30ms (milliseconds) Hardwired to the router Surge protector with Network Line Protection for CAH issued equipment Anticipated hourly range: $21.50 per hour - $30.70 per hour Bonus eligible: No Benefits: Cardinal Health offers a wide variety of benefits and programs to support health and well-being. Medical, dental and vision coverage Paid time off plan Health savings account (HSA) 401k savings plan Access to wages before pay day with my FlexPay Flexible spending accounts (FSAs) Short- and long-term disability coverage Work-Life resources Paid parental leave Healthy lifestyle programs Application window anticipated to close: 3/6/2026 *if interested in opportunity, please submit application as soon as possible. The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity. Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply. Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law. To read and review this privacy notice click here

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. Position Summary An Inbound Patient Account Services Coordinator advocates for the patient and portrays “Putting People First” by taking a hands-on approach to help people on their path to better health. In this role, a Inbound Patient Account Services Specialist will provide a high level of customer service, resolve patient billing questions, and report potential trends to Leadership for review. We will support you by offering all the tools and resources you need to be successful in a collaborative team environment. Key Responsibilities of the Inbound Patient Account Services Coordinator: Develop a deep understanding of CVS Specialty processes and learn how customer service impacts a patient's journey from order to reimbursement for services. Helping patients to navigate complex billing and reimbursement processes to assure efficient and timely billing and reimbursement for services. Build a trusting relationship with patients by engaging in meaningful and relevant conversation. Manage difficult or emotional situations, responding promptly to patient needs, and demonstrating empathy and a sense of urgency when appropriate. Accurately and consistently document each interaction in the appropriate Revenue Cycle system. Record, review, and take next steps to follow-up and resolve patient concerns. Gather and examine patient information to determine eligibility for payment plans. Meet call center metrics that include call volume and call quality. Use technology to effectively liaison with other departments across CVS Specialty. Demonstrate an outgoing, enthusiastic, professional, and caring presence over the telephone. Required Qualifications: 6 months experience in healthcare billing, reimbursement, collections practices, and/or infusion services. Experience with computers, including 1+ years working with Microsoft Word, Outlook, and Excel. Effective written and verbal customer service skills. Ability to work independently and on a team. Ability to offer emotional support and empathy. Flexibility with work schedule to meet business needs, including but not limited to 8-hour work shifts from 8:00am - 8:00pm EST (Monday - Friday). Preferred Qualifications: 1 year experience in healthcare billing, collections practices, and/or infusion services. 1 year experience in pharmacy billing and reimbursement. Education Verifiable High-school diploma or GED required. 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 ***************************************** We anticipate the application window for this opening will close on: 01/30/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

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. This is a fully remote anywhere in the US position. Work Schedule: Tuesday through Saturday 10:00am-6:30pm CSTPosition SummaryThe MCO Coordinator is responsible ensuring the timely and accurate quality validation for member correspondence; including but not limited to Medicare operational letters. This position involves establishing positive working relationships with internal and external customers by providing accurate, reliable, and timely file submissions, reviews, letter markup, and error resolution. This is achieved through quality review of PDF images for correct template, content, client branding, and formatting so letters can accurately print and send to plan participants. As an individual contributor and team player for any current and upcoming projects and initiatives, this role will identify and assist staff to ensure all work is performed within SLA and will participate in updates to the templates and mailings to manage daily activities. The role will complete and maintain tracking reports of all correspondence for record-keeping and prepare files to be reviewed and ensure work is completed in a timely manner. The Coordinator will also be responsible for monitoring, analyzing, and communicating within the organization of identifying deficiencies of letters. This individual will also be trained on various operational processes supported by MCO teams to assist with execution during times of elevated volumes. ResponsibilitiesProof letters in PDF format against data file information and template for accuracy. Support lead team members with internal research, documentation, follow-up, requirements capture, etc. Special projects as assigned, related to ongoing improvement and expansion. Required QualificationsAbility to prioritize and handle multiple work tasks on an ongoing basis. Highly motivated and able to work with limited supervision within established guidelines. Proficient in Microsoft Outlook, Word, and Excel. Dependable, flexible, reliable team player. Excellent communication skills, both written and verbal. High attention to detail. Preferred Qualifications3+ years of relevant experience. General understanding of PBM or healthcare operations. Knowledge of print file functionality and data requirements. Bachelor Degree preferred. Quality check or proofreading experience (sample of finished product to a standard) . EducationHS Diploma or GED equivalent Anticipated Weekly Hours40Time TypeFull time Pay RangeThe typical pay range for this role is:$17. 00 - $28. 46This 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 ************* cvshealth. com/us/en/benefits We anticipate the application window for this opening will close on: 02/28/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

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** Responsible for managing to resolution appeal scenarios for all products, which contain multiple issues and may require coordination of responses from multiple business units. Appeals are typically more complex and may require outreach and deviation from standard processes to complete. May have contact with outside plan sponsors or regulators. - Research and resolves incoming electronic appeals as appropriate as a "single-point-of-contact" based on type of appeal. - Can identify and reroute inappropriate work items that do not meet complaint/appeal criteria as well as identify trends in misrouted work. - Assemble all data used in making denial determinations and can act as subject matter expert with regards to unit workflows, fiduciary responsibility and appeals processes and procedures. - Research standard plan design, certification of coverage and potential contractual deviations to determine the accuracy and appropriateness of a benefit/administrative denial. - Can review a clinical determination and understand rationale for decision. - Able to research claim processing logic and various systems to verify accuracy of claim payment, member eligibility data, billing/payment status, and prior to initiation of the appeal process. - Serves as point person for newer staff in answering questions associated with claims/customer service systems and products. Educates team mates as well as other areas on all components within member or provider/practitioner complaints/appeals for all products and services. - Coordinates efforts both internally and across departments to successfully resolve claims research, SPD/COC interpretation, letter content, state, or federal regulatory language, triaging of complaint/appeal issues, and similar situations requiring a higher level of expertise. - Identifies trends and emerging issues and reports on and gives input on potential solutions. - Delivers internal quality reviews, provides appropriate support in third party audits, customer meetings, regulatory meetings and consultant meetings when required. - Understands and can respond to Executive complaints and appeals, Department of Insurance, Department of Health, or Attorney General complaints or appeals on behalf of members or providers as assigned. **Required Qualifications:** - 1 years' experience in reading or researching benefit language in SPDs or COCs - Demonstrated ability to handle multiple assignments competently, accurately and efficiently. - Excellent verbal and written communication skills. - Computer navigation ability and ability to multitask. - Excellent customer service skills. - Strong Leadership skills - Experience documenting workflows and reengineering efforts. **Preferred Qualifications:** - 1 years of experience in research and analysis of claim processing. - 1-2 years Medicare part C Appeals experience. **Education:** - High School Diploma **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $18.50 - $35.29 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. 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 ***************************************** We anticipate the application window for this opening will close on: 01/23/2026 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.

Only considering candidates in Texas (preferred), Michigan, & Florida Responsible for processing referrals from intake through order scheduling for new referrals that are sent from Community Based Specialty Pharmacies (CBSP) to Central specialty pharmacy for dispensing. Assists with inbound and outbound triage and transfer requests for prescriptions to ensure that prescriptions are routed to the most appropriate channel within the Walgreens enterprise. Partners and communicates closely with Walgreens central specialty, Home Delivery, Community Based Specialty pharmacy and Retail teams, as well as patients and physician offices. Job Responsibilities Records and processes orders or inquiries received by fax, mail, telephone and/or through patient direct contact. Provides timely response to patients' inquiries by telephone and/or email in an in or outbound service center, consistent with service and quality standards. Creates referrals for incoming transfers from across the Walgreens enterprise. May perform Order Processing functions such as data entry, call doctors' offices for Rx clarifications, and triage calls to a pharmacist as appropriate. Collects insurance information and may performs benefit investigation for triaged referrals, including adding/updating prior authorization information, processing major medical insurance claims and calling payers to update prior authorizations, as appropriate. Coordinates enrolling patients with financial assistance programs, upon patient consent. Coordinates and schedules patient orders, including making calls to patients and doctors' offices to schedule orders in accordance with site of care requirements. Uses internal tools and Excel documents to determine correct channel or location for a specialty prescription to be filled within the Walgreens enterprise. Serves as a single point of contact for inquires from Walgreens Community Based Specialty pharmacies. Collaborate with cross-functional teams as needed to meet local specialty patient needs (PAP, infusion services, insurance carve-outs). Respond to inquiries and provide guidance related to Limited Distribution drug access and referral routing across the enterprise. Assists with the reporting of triaged inbound and outbound requests. Other responsibilities as judgment or necessity dictate. About Walgreens Founded in 1901, Walgreens (****************** proudly serves nearly 9 million customers and patients each day across its approximately 8,500 stores throughout the U.S. and Puerto Rico. Walgreens has approximately 220,000 team members, including nearly 90,000 healthcare service providers, and is committed to being the first choice for pharmacy, retail and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities. High school diploma or GED. 1 year of work experience in call center environment, health care setting, pharmacy setting, pharmacy benefit, medical billing, or prior authorizations. Intermediate level skill in Microsoft suite of products. Experience providing customer service to internal and external customers, including meeting quality standards of services and evaluation of customer satisfaction. Willing to work mandatory extra hours including evenings, weekend, and/or hours outside of business hours. Must have an active pharmacy technician license or certification as required by state Board of Pharmacy. 1 year of work experience in call center environment, health care setting, pharmacy setting, pharmacy benefit, medical billing, or prior authorizations We will consider employment of qualified applicants with arrest and conviction records. #VHDEI An employee in this position can expect an hourly rate between $16.50-$22.00. The actual salary will depend on experience, seniority, geographic location, and other factors permitted by law. This job posting will remain open for 5 days from the job posting date. To review benefits, please click here jobs.walgreens.com/benefits. If you are applying on a job board or unable to click on the link, please copy and paste this URL into your browser jobs.walgreens.com/benefits.

**Only considering candidates in Texas (preferred), Michigan, & Florida** Responsible for processing referrals from intake through order scheduling for new referrals that are sent from Community Based Specialty Pharmacies (CBSP) to Central specialty pharmacy for dispensing. Assists with inbound and outbound triage and transfer requests for prescriptions to ensure that prescriptions are routed to the most appropriate channel within the Walgreens enterprise. Partners and communicates closely with Walgreens central specialty, Home Delivery, Community Based Specialty pharmacy and Retail teams, as well as patients and physician offices. **Job Responsibilities** + Records and processes orders or inquiries received by fax, mail, telephone and/or through patient direct contact. + Provides timely response to patients' inquiries by telephone and/or email in an in or outbound service center, consistent with service and quality standards. + Creates referrals for incoming transfers from across the Walgreens enterprise. + May perform Order Processing functions such as data entry, call doctors' offices for Rx clarifications, and triage calls to a pharmacist as appropriate. + Collects insurance information and may performs benefit investigation for triaged referrals, including adding/updating prior authorization information, processing major medical insurance claims and calling payers to update prior authorizations, as appropriate. + Coordinates enrolling patients with financial assistance programs, upon patient consent. + Coordinates and schedules patient orders, including making calls to patients and doctors' offices to schedule orders in accordance with site of care requirements. + Uses internal tools and Excel documents to determine correct channel or location for a specialty prescription to be filled within the Walgreens enterprise. + Serves as a single point of contact for inquires from Walgreens Community Based Specialty pharmacies. + Collaborate with cross-functional teams as needed to meet local specialty patient needs (PAP, infusion services, insurance carve-outs). + Respond to inquiries and provide guidance related to Limited Distribution drug access and referral routing across the enterprise. + Assists with the reporting of triaged inbound and outbound requests. + Other responsibilities as judgment or necessity dictate. **About Walgreens** Founded in 1901, Walgreens (****************** proudly serves nearly 9 million customers and patients each day across its approximately 8,500 stores throughout the U.S. and Puerto Rico. Walgreens has approximately 220,000 team members, including nearly 90,000 healthcare service providers, and is committed to being the first choice for pharmacy, retail and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities. **Job ID:** 1725190BR **Title:** Remote Coordinator Enterprise Triage **Company Indicator:** Walgreens **Employment Type:** **Job Function:** Customer Contact Center **Full Store Address:** 108 WILMOT ROAD,DEERFIELD,IL 60015 **Full District Office Address:** 108 WILMOT ROAD,DEERFIELD,IL,60015-05108-00001-Y **External Basic Qualifications:** + High school diploma or GED. + 1 year of work experience in call center environment, health care setting, pharmacy setting, pharmacy benefit, medical billing, or prior authorizations. + Intermediate level skill in Microsoft suite of products. + Experience providing customer service to internal and external customers, including meeting quality standards of services and evaluation of customer satisfaction. + Willing to work mandatory extra hours including evenings, weekend, and/or hours outside of business hours. **Preferred Qualifications:** + Must have an active pharmacy technician license or certification as required by state Board of Pharmacy. + 1 year of work experience in call center environment, health care setting, pharmacy setting, pharmacy benefit, medical billing, or prior authorizations We will consider employment of qualified applicants with arrest and conviction records. \#VHDEI _An employee in this position can expect an hourly rate between_ _$16.50-$22.00_ _. The actual salary will depend on experience, seniority, geographic location, and other factors permitted by law. This job posting will remain open for 5 days from the job posting date. To review benefits, please click here jobs.walgreens.com/benefits. If you are applying on a job board or unable to click on the link, please copy and paste this URL into your browser_ _jobs.walgreens.com/benefits_ _._ **Shift:** **Store:**

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. This is a fully remote anywhere in the US position. Work Schedule: Tuesday through Saturday 10:00am-6:30pm CSTPosition SummaryThe MCO Coordinator is responsible ensuring the timely and accurate quality validation for member correspondence; including but not limited to Medicare operational letters. This position involves establishing positive working relationships with internal and external customers by providing accurate, reliable, and timely file submissions, reviews, letter markup, and error resolution. This is achieved through quality review of PDF images for correct template, content, client branding, and formatting so letters can accurately print and send to plan participants. As an individual contributor and team player for any current and upcoming projects and initiatives, this role will identify and assist staff to ensure all work is performed within SLA and will participate in updates to the templates and mailings to manage daily activities. The role will complete and maintain tracking reports of all correspondence for record-keeping and prepare files to be reviewed and ensure work is completed in a timely manner. The Coordinator will also be responsible for monitoring, analyzing, and communicating within the organization of identifying deficiencies of letters. This individual will also be trained on various operational processes supported by MCO teams to assist with execution during times of elevated volumes. ResponsibilitiesProof letters in PDF format against data file information and template for accuracy. Support lead team members with internal research, documentation, follow-up, requirements capture, etc. Special projects as assigned, related to ongoing improvement and expansion. Required QualificationsAbility to prioritize and handle multiple work tasks on an ongoing basis. Highly motivated and able to work with limited supervision within established guidelines. Proficient in Microsoft Outlook, Word, and Excel. Dependable, flexible, reliable team player. Excellent communication skills, both written and verbal. High attention to detail. Preferred Qualifications3+ years of relevant experience. General understanding of PBM or healthcare operations. Knowledge of print file functionality and data requirements. Bachelor Degree preferred. Quality check or proofreading experience (sample of finished product to a standard) . EducationHS Diploma or GED equivalent Anticipated Weekly Hours40Time TypeFull time Pay RangeThe typical pay range for this role is:$17. 00 - $28. 46This 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 ************* cvshealth. com/us/en/benefits We anticipate the application window for this opening will close on: 02/28/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

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. This is a fully remote anywhere in the US position. Work Schedule: Tuesday through Saturday 10:00am-6:30pm CSTPosition SummaryThe MCO Coordinator is responsible ensuring the timely and accurate quality validation for member correspondence; including but not limited to Medicare operational letters. This position involves establishing positive working relationships with internal and external customers by providing accurate, reliable, and timely file submissions, reviews, letter markup, and error resolution. This is achieved through quality review of PDF images for correct template, content, client branding, and formatting so letters can accurately print and send to plan participants. As an individual contributor and team player for any current and upcoming projects and initiatives, this role will identify and assist staff to ensure all work is performed within SLA and will participate in updates to the templates and mailings to manage daily activities. The role will complete and maintain tracking reports of all correspondence for record-keeping and prepare files to be reviewed and ensure work is completed in a timely manner. The Coordinator will also be responsible for monitoring, analyzing, and communicating within the organization of identifying deficiencies of letters. This individual will also be trained on various operational processes supported by MCO teams to assist with execution during times of elevated volumes. ResponsibilitiesProof letters in PDF format against data file information and template for accuracy. Support lead team members with internal research, documentation, follow-up, requirements capture, etc. Special projects as assigned, related to ongoing improvement and expansion. Required QualificationsAbility to prioritize and handle multiple work tasks on an ongoing basis. Highly motivated and able to work with limited supervision within established guidelines. Proficient in Microsoft Outlook, Word, and Excel. Dependable, flexible, reliable team player. Excellent communication skills, both written and verbal. High attention to detail. Preferred Qualifications3+ years of relevant experience. General understanding of PBM or healthcare operations. Knowledge of print file functionality and data requirements. Bachelor Degree preferred. Quality check or proofreading experience (sample of finished product to a standard) . EducationHS Diploma or GED equivalent Anticipated Weekly Hours40Time TypeFull time Pay RangeThe typical pay range for this role is:$17. 00 - $28. 46This 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 ************* cvshealth. com/us/en/benefits We anticipate the application window for this opening will close on: 02/28/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

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. This is a fully remote anywhere in the US position. Work Schedule: Tuesday through Saturday 10:00am-6:30pm CSTPosition SummaryThe MCO Coordinator is responsible ensuring the timely and accurate quality validation for member correspondence; including but not limited to Medicare operational letters. This position involves establishing positive working relationships with internal and external customers by providing accurate, reliable, and timely file submissions, reviews, letter markup, and error resolution. This is achieved through quality review of PDF images for correct template, content, client branding, and formatting so letters can accurately print and send to plan participants. As an individual contributor and team player for any current and upcoming projects and initiatives, this role will identify and assist staff to ensure all work is performed within SLA and will participate in updates to the templates and mailings to manage daily activities. The role will complete and maintain tracking reports of all correspondence for record-keeping and prepare files to be reviewed and ensure work is completed in a timely manner. The Coordinator will also be responsible for monitoring, analyzing, and communicating within the organization of identifying deficiencies of letters. This individual will also be trained on various operational processes supported by MCO teams to assist with execution during times of elevated volumes. ResponsibilitiesProof letters in PDF format against data file information and template for accuracy. Support lead team members with internal research, documentation, follow-up, requirements capture, etc. Special projects as assigned, related to ongoing improvement and expansion. Required QualificationsAbility to prioritize and handle multiple work tasks on an ongoing basis. Highly motivated and able to work with limited supervision within established guidelines. Proficient in Microsoft Outlook, Word, and Excel. Dependable, flexible, reliable team player. Excellent communication skills, both written and verbal. High attention to detail. Preferred Qualifications3+ years of relevant experience. General understanding of PBM or healthcare operations. Knowledge of print file functionality and data requirements. Bachelor Degree preferred. Quality check or proofreading experience (sample of finished product to a standard) . EducationHS Diploma or GED equivalent Anticipated Weekly Hours40Time TypeFull time Pay RangeThe typical pay range for this role is:$17. 00 - $28. 46This 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 ************* cvshealth. com/us/en/benefits We anticipate the application window for this opening will close on: 02/28/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

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. **Title:** Welcome Coordinator **Company:** Oak Street Health **Role Description:** The purpose of the Welcome Coordinator at Oak Street Health is to create an inclusive environment for anyone who walks through our doors and to make a positive first and last impression on our patients. Welcome Coordinators are the face of our clinic and the glue that keeps our center operations efficient. Welcome Coordinators perform various administrative tasks that allow our broader teams to execute on creating an unmatched patient experience, deliver the best care anywhere and make Oak Street a great place to work. Welcome Coordinators juggle tasks such as scheduling patient appointments, managing inbound and outbound phone calls, as well as managing administrative tasks including fax and mail distribution. Welcome Coordinators are expected to be friendly and highly flexible. Welcome Coordinators are a part of our Service Team and report to the Practice Manager. The main focus of the Service Team is creating a seamless experience for our patients and community members. Welcome Coordinators are responsible for delivering excellent, high-touch assistance to our patients and guests everyday. **Core Responsibilities:** + Welcoming patients and guests + Conducting visit check-in and assisting patients with required forms + Collecting co-pays + Updating patient information and making changes in electronic medical record platform + Scheduling/rescheduling appointments within electronic medical records platform + Managing phone lines by answering, taking messages, and conducting outbound calls as instructed + Managing faxes in the electronic fax platform + Maintaining the cleanliness of the Welcome and Community Room areas + May be required to float to other centers in the region on an infrequent basis + Other duties as assigned **What we're looking for** **Required** + Strong computer skills required and basic knowledge of Google Suite + Professional phone etiquette + Fluency in Spanish, Polish, Russian, or other languages spoken by people in the communities we serve (where necessary) + US work authorization **Strongly preferred** + Experience in customer service setting strongly preferred + Some college preferred **Other Skills** + A flexible and positive attitude + A welcoming and nurturing attitude toward our patient population of older adults + High level of integrity **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 ***************************************** We anticipate the application window for this opening will close on: 07/12/2026 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.

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. Title: Welcome Coordinator Company: Oak Street Health Role Description: The purpose of the Welcome Coordinator at Oak Street Health is to create an inclusive environment for anyone who walks through our doors and to make a positive first and last impression on our patients. Welcome Coordinators are the face of our clinic and the glue that keeps our center operations efficient. Welcome Coordinators perform various administrative tasks that allow our broader teams to execute on creating an unmatched patient experience, deliver the best care anywhere and make Oak Street a great place to work. Welcome Coordinators juggle tasks such as scheduling patient appointments, managing inbound and outbound phone calls, as well as managing administrative tasks including fax and mail distribution. Welcome Coordinators are expected to be friendly and highly flexible. Welcome Coordinators are a part of our Service Team and report to the Practice Manager. The main focus of the Service Team is creating a seamless experience for our patients and community members. Welcome Coordinators are responsible for delivering excellent, high-touch assistance to our patients and guests everyday. Core Responsibilities: Welcoming patients and guests Conducting visit check-in and assisting patients with required forms Collecting co-pays Updating patient information and making changes in electronic medical record platform Scheduling/rescheduling appointments within electronic medical records platform Managing phone lines by answering, taking messages, and conducting outbound calls as instructed Managing faxes in the electronic fax platform Maintaining the cleanliness of the Welcome and Community Room areas May be required to float to other centers in the region on an infrequent basis Other duties as assigned What we're looking for Required Strong computer skills required and basic knowledge of Google Suite Professional phone etiquette Fluency in Spanish, Polish, Russian, or other languages spoken by people in the communities we serve (where necessary) US work authorization Strongly preferred Experience in customer service setting strongly preferred Some college preferred Other Skills A flexible and positive attitude A welcoming and nurturing attitude toward our patient population of older adults High level of integrity 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 ***************************************** We anticipate the application window for this opening will close on: 07/12/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

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. **Title:** Welcome Coordinator **Company:** Oak Street Health **Role Description:** The purpose of the Welcome Coordinator at Oak Street Health is to create an inclusive environment for anyone who walks through our doors and to make a positive first and last impression on our patients. Welcome Coordinators are the face of our clinic and the glue that keeps our center operations efficient. Welcome Coordinators perform various administrative tasks that allow our broader teams to execute on creating an unmatched patient experience, deliver the best care anywhere and make Oak Street a great place to work. Welcome Coordinators juggle tasks such as scheduling patient appointments, managing inbound and outbound phone calls, as well as managing administrative tasks including fax and mail distribution. Welcome Coordinators are expected to be friendly and highly flexible. Welcome Coordinators are a part of our Service Team and report to the Practice Manager. The main focus of the Service Team is creating a seamless experience for our patients and community members. Welcome Coordinators are responsible for delivering excellent, high-touch assistance to our patients and guests everyday. **Core Responsibilities:** + Welcoming patients and guests + Conducting visit check-in and assisting patients with required forms + Collecting co-pays + Updating patient information and making changes in electronic medical record platform + Scheduling/rescheduling appointments within electronic medical records platform + Managing phone lines by answering, taking messages, and conducting outbound calls as instructed + Managing faxes in the electronic fax platform + Maintaining the cleanliness of the Welcome and Community Room areas + May be required to float to other centers in the region on an infrequent basis + Other duties as assigned **What we're looking for** **Required** + Strong computer skills required and basic knowledge of Google Suite + Professional phone etiquette + Fluency in Spanish, Polish, Russian, or other languages spoken by people in the communities we serve (where necessary) + US work authorization **Strongly preferred** + Experience in customer service setting strongly preferred + Some college preferred **Other Skills** + A flexible and positive attitude + A welcoming and nurturing attitude toward our patient population of older adults + High level of integrity **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 ***************************************** We anticipate the application window for this opening will close on: 07/13/2026 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.

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. Title: Welcome Coordinator Company: Oak Street Health Role Description: The purpose of the Welcome Coordinator at Oak Street Health is to create an inclusive environment for anyone who walks through our doors and to make a positive first and last impression on our patients. Welcome Coordinators are the face of our clinic and the glue that keeps our center operations efficient. Welcome Coordinators perform various administrative tasks that allow our broader teams to execute on creating an unmatched patient experience, deliver the best care anywhere and make Oak Street a great place to work. Welcome Coordinators juggle tasks such as scheduling patient appointments, managing inbound and outbound phone calls, as well as managing administrative tasks including fax and mail distribution. Welcome Coordinators are expected to be friendly and highly flexible. Welcome Coordinators are a part of our Service Team and report to the Practice Manager. The main focus of the Service Team is creating a seamless experience for our patients and community members. Welcome Coordinators are responsible for delivering excellent, high-touch assistance to our patients and guests everyday. Core Responsibilities: Welcoming patients and guests Conducting visit check-in and assisting patients with required forms Collecting co-pays Updating patient information and making changes in electronic medical record platform Scheduling/rescheduling appointments within electronic medical records platform Managing phone lines by answering, taking messages, and conducting outbound calls as instructed Managing faxes in the electronic fax platform Maintaining the cleanliness of the Welcome and Community Room areas May be required to float to other centers in the region on an infrequent basis Other duties as assigned What we're looking for Required Strong computer skills required and basic knowledge of Google Suite Professional phone etiquette Fluency in Spanish, Polish, Russian, or other languages spoken by people in the communities we serve (where necessary) US work authorization Strongly preferred Experience in customer service setting strongly preferred Some college preferred Other Skills A flexible and positive attitude A welcoming and nurturing attitude toward our patient population of older adults High level of integrity 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 ***************************************** We anticipate the application window for this opening will close on: 07/13/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

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. Program Summary Join our Aetna care management team as we lead the way in providing exceptional care to dual eligible populations! You will have a life-changing impact on our Dual Eligible Special Needs Plan (DSNP) members, who are enrolled in both Medicare and Medicaid. As a member of the care team, you will collaborate with members, the internal care team, healthcare providers, and community organizations to meet the complex healthcare and social needs of our members Be part of this exciting opportunity as we expand our DSNP services to transform lives in new markets across the country. Position Summary/Mission As a vital member of our Special Needs Plan (SNP) care team, the Care Coordinator (CC) is responsible for coordinating care for our members through close collaboration with the Care Manager, Social Worker, and other interdisciplinary team members. This role involves evaluating member needs through the annual Health Risk Survey, addressing social determinants of health (SDoH), coordinating care across the continuum, and closing gaps in preventive and health maintenance care. Key Responsibilities Member Evaluation: Conduct the annual Health Risk Survey to support needs identification for the member's Individual Plan of Care. Risk Escalation: Inform the assigned care manager of newly identified health/safety risks or service needs Care Coordination: Complete care coordination activities delegated by the care manager within an established timeframe. Quality Issue Escalation: inform the assigned care manager and/or associate manager of any identified quality of care issues. Advocacy: Passionately support the member's care coordination needs and drive solutions to address those needs. Member Engagement: Use problem-solving skills to find alternative contact information for members who are unreachable by care management. Employ motivational interviewing techniques to maximize member engagement and promote lifestyle changes for optimal health. Monitoring and Documentation: Adhere to case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies. Essential Competencies and Functions Meet performance and productivity metrics, including call volume, successful member engagement, and compliance with state/federal regulatory requirements. Conduct oneself with integrity, professionalism, and self-direction. Demonstrate a willingness to learn about care management within Medicare and Medicaid managed care. Familiarity with community resources and services. Navigate various healthcare technology tools to enhance member care, streamline workflows, and maintain accurate records. Maintain strong collaborative and professional relationships with members and colleagues. Communicate effectively, both verbally and in writing. Exhibit excellent customer service and engagement skills. Required Qualifications 2+ years in behavioral health, social services, or a related field relevant to the program focus Proficient in Microsoft Office Suite (Word, Excel, Outlook, OneNote, Teams) and capable of utilizing these tools effectively in the Care Management Coordinator role Access to a private, dedicated workspace to fulfill job requirements effectively Preferred Qualifications Case management and discharge planning experience Managed care experience Education High School Diploma with equivalent experience (REQUIRED) Associate's or Bachelor's Degree or non-licensed master's level clinician in behavioral health or human services (psychology, social work, marriage and family therapy, counseling) or equivalent experience (PREFERRED) Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $21.10 - $36.78 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 ***************************************** We anticipate the application window for this opening will close on: 02/27/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.