Medicare Complaint Analyst -WAH

Job DescriptionThis is a permanent work at home opportunity for candidates located in any state.The Medicare CTM Analyst will fully research and resolve beneficiary complaints submitted to the Centers for Medicaid and Medicare Services (CMS). These complaints can include various issues and may require coordination with various departments in order to fully reach resolution. Responses must be timely and include member focused solutions in both written and oral format.Required Qualifications: Customer Service skills Experience handling customer service phone calls and elevated issues Ability to document resolution in written communication to members in a professional and easy to understand manner Experience troubleshooting complex customer problems Attention to detail Ability to work across various departments as necessary to establish the root cause and resolution of the issue Ability to toggle between multiple applications Ability to juggle caseload effectivelyPay RangeThe typical pay range for this role is:Minimum: 17.00Maximum: 27.16Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will take into account a wide range of factors, including location.Required QualificationsEducation The highest level of education desired for candidates is a bachelor's degree or equivalent work experienceBusiness OverviewAt Aetna, a CVS Health Company, we are joined in a common purpose; helping people on their path to better health. We are working to transform healthcare through innovations that make quality care more accessible, easier to use, less expensive and patient focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.We are committed to maintaining a diverse and inclusive work environment. CVS Health is an equal opportunity and affirmative action employer. WE do not discriminate in recruiting, hiring or promotion based on race ethnicity, gender, gender identity, age, disability or protected veteran status. We proudly support and encourage people with military experience (active reservists,Preferred QualificationsPreferred Qualifications General Medicare knowledge Prior experience with CTMs and/or Center for Medicaid and Medicare Services (CMS) Claim processing knowledge Ability to work flexible hours, some weekends and holidays. Overtime may be required during busy times of year.EducationEducation The highest level of education desired for candidates is a bachelor's degree or equivalent work experienceBusiness OverviewBusiness OverviewBring your heart to CVS Health Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.

Created: 2026-03-07