Job Description
Note: The job is a remote job and is open to candidates in USA. CVS Health is the nation’s leading health solutions company, reaching millions of Americans through local presence and digital channels. The Senior Analyst, Business Consultant supports the Medicare Appeals Training Team by coordinating training programs and ensuring compliance with CMS regulations. Responsibilities • 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 • 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 • 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 • 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 Skills • 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 • 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 Benefits • Affordable medical plan options • 401(k) plan (including matching company contributions) • 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. Company Overview • CVS Health is a health solutions company that provides an integrated healthcare services to its members. It was founded in 1963, and is headquartered in Woonsocket, Rhode Island, USA, with a workforce of 10001+ employees. Its website is Apply tot his job