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Project Manager, Complaints & Appeals
CVS Health
Washington, District of Columbiafull-time54k–159kPosted 10 days ago
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About this role
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. Job Summary: Build and maintain a solid team through training, coaching and developing staff Validate effectiveness of the different projects managed by appeals team through universe data validation. Facilitate and present at meetings within the Appeals team. Establish and maintain in collaboration with the business, consistent processes defining the overview and readiness of appeals to help remain compliant with regulatory and accreditation requirements. Assess developmental needs and collaborate with others to identify and implement action plans that support the development of high performing teams and individuals. Manage projects and identify trends and recommends/acts on solutions. Report capabilities related to audit requests and universe submissions. Required Qualifications 3+ years Appeals background Microsoft Office experience Knowledge of Appeals job aids/workflows Strong Communication skills - ability to provide and receive feedback Excellent time management skills 2+ years of supervisory experience Ability to work collaboratively across teams Strong analytical skills focusing on accuracy and attention to details Preferred Qualifications 2+ years Project Management experience QuickBase experience 2+ years training or leadership experience Knowledge of CMS guidance Product knowledge and experience with Appeals and Medicare Regulatory Requirements Appeals and MHK knowledge/experience Education High school diploma or higher education Bachelor's degree or equivalent experience Anticipated Weekly Hours 40 Time Type Full time P
Read the full description and requirements on the original posting.
Tailor your resume for this Project Manager, Complaints & Appeals role
CVS Health and most employers screen applications with ATS software before a recruiter reads them, and they rank resumes that echo the language of the posting. To stand out for this role, mirror the exact skills, tools, and job title it uses, and make your location (Washington, District of Columbia) clear. For operations & admin roles like this one, recruiters commonly scan for:
- Project Management
- Excel
- Process Improvement
- Scheduling
- Vendor Management
- SOP Development
- Data Entry
- Coordination
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Build a matching resume — freeFrequently asked questions
Is the Project Manager, Complaints & Appeals role at CVS Health remote?
This role is based in Washington, District of Columbia. Check the original posting for any hybrid or remote flexibility.
What does the Project Manager, Complaints & Appeals role at CVS Health pay?
The listed pay is 54k–159k. Salaries vary with experience and location — treat this as a guide and confirm on the original posting.
How do I apply for this Project Manager, Complaints & Appeals job?
Applications happen on the employer's own site — use the "Apply on company site" link on this page. Before you apply, tailor your resume to the listing so it clears the ATS.
How do I tailor my resume for this Project Manager, Complaints & Appeals role?
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