We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.<br><br><strong>Primary Job Duties & Responsibilities<br><br></strong>This position supports the daily processing of appeals in the Par Provider Dental Appeals.<br><br>Job functions include, completing appeals determination letters, prepping dental requests, updating systems, completing reporting as necessary, working collaboratively with clinical support staff (Medical Directors, Nurses, Providers, etc.), and movement of cases in the MedHok system.<br><br>All work is to be handled in compliance of turnaround times and regulatory standards.<br><br>Responsible for managing to resolution complaint/appeal scenarios for dental products, which may contain multiple issues and may require coordination of responses from multiple business units. Ensure timely, provider focused response to complaints/appeals.<br><br>Identify trends and emerging issues and report and recommend solutions.<br><br><strong>Required Qualifications<br><br></strong>Comprehends contemporary dental care standards, practices, and procedures.<br><br>Possesses high level of technical knowledge and radiograph interpretation skills.<br><br><strong>Preferred Qualifications<br><br></strong>If certified or licensed, maintains required continuing education requirements.<br><br>Uses available resources efficiently.<br><br>Is well organized, continually focusing upon maximal utilization of time and talent.<br><br><strong>Embraces Change And Readily Accepts Additional Responsibilities.<br><br></strong>Research issues thoroughly and reports findings clearly, providing options for resolution.<br><br><strong>Education<br><br></strong>Vocational school or college level training beyond high school<br><br>CDA. RDA, RDH with at least five years clinical experience<br><br><strong>Anticipated Weekly Hours<br><br></strong>40<br><br><strong>Time Type<br><br></strong>Full time<br><br><strong>Pay Range<br><br></strong><strong>The Typical Pay Range For This Role Is<br><br></strong>$21.10 - $44.99<br><br>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.<br><br>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.<br><br><strong>Great Benefits For Great People<br><br></strong>We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.<br><br>This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.<br><br>Additional details about available benefits are provided during the application process and on Benefits Moments.<br><br>We anticipate the application window for this opening will close on: 10/05/2026<br><br>Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.