Appeals & Grievance Resolution Specialist

CVS Health; Oklahoma City (OK); On-site; USD 23,000 - 35,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Paid time off

Retirement plan

Wellness programs

Job summary

CVS Health is hiring for an Appeals, Complaints and Grievances role in Oklahoma City. The position focuses on intake, investigation, and resolution of appeals and complaints across products, ensuring timely, customer-focused responses.

Candidates should have 1–2 years of related experience, strong analytical and regulatory knowledge, and excellent communication skills. The role is full-time with a comprehensive benefits package and a standard 40-hour workweek.

Qualifications

• Experience reading or researching benefit language.
• 1-2 years experience including claim platforms, products, benefits, patient management, and related areas.

Responsibilities

• Responsible for intake, investigation and resolution of appeals, complaints and grievances for all products.
• Ensure timely, customer focused responses to appeals, complaints and grievances.
• Identify trends and emerging issues and report solutions.
• Research incoming electronic appeals, complaints and grievances to determine applicability.
• Coordinate responses from multiple units for final resolution and closure.
• Serve as a technical resource on appeals and grievance issues.

Skills

Analytical skills

Verbal and written communication

Regulatory knowledge

Education

High School Diploma or GED

Some college

Tools

Excel

Microsoft Word

Job description

CVS Health is hiring for an Appeals, Complaints and Grievances role in Oklahoma City. The position focuses on intake, investigation, and resolution of appeals and complaints across products, ensuring timely, customer-focused responses.

Candidates should have 1–2 years of related experience, strong analytical and regulatory knowledge, and excellent communication skills. The role is full-time with a comprehensive benefits package and a standard 40-hour workweek.