Complaint & Appeals Analyst

CVS Health

Behavioral Health Analyst ensuring compliance with health regulations and conducting mediation conferences. Collaborating across functions and drafting various reports for behavioral health cases.

Posted 5/22/2026full-timeRemote • Arizona • 🇺🇸 United StatesJuniorMid-Level💰 $21 - $41 per hourWebsite

About the role

Key responsibilities & impact

Verify caller enrollment status with Mercy Care Plan.
Collect and document accurate demographic information from members/callers, as well as from Mercy Care systems.
Confirm details such as whether members receive special assistance (applicable to members with serious mental illness).
Utilize the QuickBase database to complete intake forms, ensuring documentation of members' reasons for calling is thorough and precise.
Provide empathetic and compassionate support to all callers.
Assist with special projects as assigned.

Requirements

What you’ll need

Must reside in Arizona.
At least 6 months of experience with Medicare and Medicaid programs.
At least 6 months of experience with behavioral health systems related to individuals with serious mental illness.
Proficiency with typing and basic computer knowledge.
Ability to navigate multiple systems to retrieve data during calls.
Ability to critically assess the information provided by callers to ensure completeness and accuracy.
Call center/medical call center experience

Benefits

Comp & perks

medical, dental, and vision coverage
paid time off
retirement savings options
wellness programs

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

MedicareMedicaidbehavioral health systemsdata retrievaltypingcomputer knowledge

Soft Skills

empathetic supportcompassionate supportcritical assessmentattention to detail