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Senior Analyst, Business Consultant · Medicare Appeals Training Team - Work From Home

Remote Full-time Hiring now

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. Position Summary The Senior Analyst, Business Consultant supports the Medicare Appeals Training Team by coordinating training Key Responsibilities: Training Program Coordination - Assist in the planning, scheduling, and delivery of training programs for new and existing appeals staff. - Support the development of training materials, job aids, and e-learning modules in collaboration with trainers - Maintain training records and ensure documentation meets audit and compliance standards. Program Evaluation & Continuous Improvement - Monitor training effectiveness through feedback surveys, performance metrics, and post-training assessments. - Identify gaps in staff knowledge or performance and recommend targeted training interventions. - Support the implementation of process improvements based on training outcomes and operational needs. Operational Support - Collaborate with trainers and clinical consultants to ensure training content reflects current CMS regulations - Assist in onboarding new staff and coordinating refresher training for existing team members. - Participate in readiness activities for audits and regulatory reviews by ensuring training compliance. Stakeholder Engagement - Serve as a liaison between training, appeals operations, and compliance teams to ensure consistent messaging - Communicate training updates, schedules, and outcomes to leadership and frontline teams. - Support cross-functional initiatives that impact training delivery or appeals performance. Qualifications - Bachelor·s degree in Healthcare Administration, Education, Business, or related field. - 3·5 years of experience in healthcare operations, training coordination, or Medicare appeals. - Familiarity with CMS regulations and Medicare Advantage appeals processes. - Strong organizational, communication, and facilitation skills. Preferred Skills - Experience with adult learning principles and instructional design. - Proficiency in training platforms (e.g., LMS systems) and Microsoft Office Suite. - Knowledge of audit preparation and documentation standards. Education Bachelor's Degree Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $46,988.00 - $112,200.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit https://jobs.cvshealth.com/us/en/benefits We anticipate the application window for this opening will close on: 12/24/2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. Our Work Experience is the combination of everything that's unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people. Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful. They make choices according to what is best for the team, they live for opportunities to collaborate and make a difference, and they make us the #1 Top Workplace in the area. Apply tot his job Apply To this Job

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