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CVS Health

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Dental Healthcare Analyst

AnalystAnalystFull TimeRemoteSeniorTeam 10,001+Since 1963H1B No SponsorCompany SiteLinkedIn

Location

Florida + 3 moreAll locations: Florida, Idaho, Mississippi, Texas

Posted

11 days ago

Salary

$21 - $44 / hour

Seniority

Senior

Professional Certificate5 yrs expEnglish

Job Description

• Supports the daily processing of appeals in the Par Provider Dental Appeals department • Completing appeals determination letters • Prepping dental requests • Updating systems • Completing reporting as necessary • Working collaboratively with clinical support staff (Medical Directors, Nurses, Providers, etc.) • Movement of cases in the MedHok system • Responsible for managing to resolution complaint/appeal scenarios for dental products • Ensure timely, provider focused response to complaints/appeals • Identify trends and emerging issues and report and recommend solutions

Job Requirements

  • Comprehends contemporary dental care standards, practices, and procedures
  • Possesses high level of technical knowledge and radiograph interpretation skills
  • If certified or licensed, maintains required continuing education requirements
  • Uses available resources efficiently
  • Is well organized, continually focusing upon maximal utilization of time and talent
  • Embraces change and readily accepts additional responsibilities
  • Researches issues thoroughly and reports findings clearly, providing options for resolution

Benefits

  • Affordable medical plan options
  • 401(k) plan (including matching company contributions)
  • Employee stock purchase plan
  • No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs
  • Confidential counseling and financial coaching
  • Paid time off
  • Flexible work schedules
  • Family leave
  • Dependent care resources
  • Colleague assistance programs
  • Tuition assistance
  • Retiree medical access
  • Many other benefits depending on eligibility

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