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 savings options

Job summary

CVS Health is hiring for an appeals and grievances specialist in Oklahoma City. You will investigate and resolve appeals, complaints and grievances, coordinating with multiple teams to ensure accurate, timely responses.

Role requires attention to benefit language, regulatory knowledge, and strong analytical and communication skills to deliver compliant resolutions and customer-focused service.

Qualifications

• Experience reading or researching benefit language.
• 1–2 years in claims, benefits, or regulatory analysis roles.

Responsibilities

• Handle intake, investigation and resolution of appeals, complaints and grievances.
• Coordinate responses across multiple business units for final resolution.
• Research plan design and coverage relevance to assess benefit/administration.
• Identify trends and report potential solutions to leadership.

Skills

Benefit language analysis

Regulatory knowledge

Analytical skills

Communication skills

Collaboration

Attention to detail

Regulatory compliance

Education

Some college

High School or GED equivalent

Tools

Excel

Microsoft Word

Job description

CVS Health is hiring for an appeals and grievances specialist in Oklahoma City. You will investigate and resolve appeals, complaints and grievances, coordinating with multiple teams to ensure accurate, timely responses.

Role requires attention to benefit language, regulatory knowledge, and strong analytical and communication skills to deliver compliant resolutions and customer-focused service.