Intake Coordinator, Regulatory Resolution Team

CVS Health•Hartford, CT

About The Position

The Regulatory Resolution Team is responsible for responding to highly sensitive and visible regulatory inquiries and complaints. This team is responsible for delivering thorough reviews, advocacy, risk analysis, and collaborative resolutions that uphold regulatory compliance and drive member satisfaction. These inquiries require elite execution, precision, and compliance with state and federal regulations, internal operations and company policies. The RRT’s work is critical to protecting the organization’s reputation and maintaining trust with members, regulatory bodies and stakeholders.

Requirements

1-3 years of work experience
Healthcare industry experience required
Working knowledge of problem solving and decision-making skills
Strong organizational skills and attention to detail
Ability to manage multiple tasks and meet deadlines in a fast-paced environment

Nice To Haves

Experience in a legal, regulatory, or compliance-related environment
Ability to prioritize in a fast-paced environment
Experience with case intake, complaint management, or regulatory workflows

Responsibilities

Timely monitoring and review of department mailboxes and regulatory state portals to appropriately document and assign member and provider regulatory complaints and inquiries
Confirming complaint issue meets the definition of a regulatory case for assignment
Primary phone agent for RRT phone line
Screening complaints using all available systems (e.g. GPS, CATS, ECHS)
Responding to insurance verifications from state regulators
Working collaboratively across multiple internal stakeholders and analysts