Description
Bring 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. *Position Summary* Performs paralegal tasks specific to Medicaid and Medicare administrative state fair hearings. * Conduct basic legal and investigative research and analysis for member appeals and provider claim disputes. * Research and apply knowledge of legal, regulatory and procedural developments that relate to area of practice, as well as clients' business goals, plans and priorities to all member appeals and provider claim disputes. * Participate in due diligence; conduct fact finding, document gathering and document creation (such as, motions, communications, etc.). * Ensure that all state fair hearing requests and related documentation are uploaded to the appropriate government agency in timely manner. * Ensure all state fair hearing request information, hearing notices, orders, minute entries, and hearing decisions are entered into appropriate databases and calendars, as required, accurately and in a timely manner. * Hearing Files: Create a state fair hearing file using the designated format. Research and route state fair hearing files for appropriate reviews by the relevant department or subject matter expert. * Staffings and Meetings: Schedule staffings and meetings as required by the assigned hearing attorney. * Other miscellaneous projects as needed by the legal department. *Required Qualifications* 3+ years of demonstrated paralegal experience in a law firm or in-house legal department. *Preferred Qualifications* * Experience in litigation or administrative hearings. * Managed care experience, especially Medicaid or Medicare. * Experience in administrative law. *Education* Associate's Degree and Paralegal Certificate (from an accredited ABA program preferred). Bachelor's Degree a plus. *Pay Range* The typical pay range for this role is: $29.72 - $59.42This 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. In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company's 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. For more detailed information on available benefits, please visit [jobs.CVSHealth.com/benefits](https://jobs.cvshealth.com/benefits) We anticipate the application window for this opening will close on: 04/19/2024
Apply on company website
Find Connections via Linkedin
