Top 3019 Administrative services Jobs in Kentucky

Senior Coordinator, Complaint & Appeals - Remote
CVS Health —Kentucky
- $18.50 - $38.82 an hour
- Full-time
- Remote
- Data analysis skills
- Research
- High school diploma or GED
- Health insurance
- Dental insurance
7d
Complaint Appeals, Senior Coordinator - Fully Remote
CVS Health —Kentucky
- $18.50 - $38.82 an hour
- Weekends as needed
- Remote
- Research
- High school diploma or GED
- Mentoring
- Health insurance
- Dental insurance
1d
Administrative Specialist
Commonwealth of Kentucky —Radcliff, KY
- $3,174.44 a month
- Full-time
- Office
- Administrative experience
- Bachelor's degree
13d
HR Shared Services Specialist
BuzzBallz —Louisville, KY
- $25 - $37 an hour
- Hybrid work
- Spanish
- English
- Mid-level
- Health insurance
- Dental insurance
9d
Administrative Specialist Senior
Commonwealth of Kentucky —Harrodsburg, KY
- $4,200.46 a month
- Full-time
- Office
- Administrative experience
- Bachelor's degree
- Paid holidays
- Health insurance
5d
Field Service Eng
Canon Medical Systems USA —Kentucky
- $74,000 - $119,600 a year
- Mid-level
- 3 years
- Analysis skills
- On-the-job training
6d
Admin Assistant
E Tabb Design Construction & Development —Louisville, KY
- $23 - $28 an hour
- Full-time
- Background check
- Microsoft Outlook
- Mid-level
- Professional development assistance
Quick Apply
Leave Specialist - REMOTE
Ryder System —Frankfort, KY
- $55,000 a year
- Full-time
- Remote
- Microsoft Excel
- Mid-level
- Analysis skills
- Disability insurance
- Health insurance
Research & Program Coordinator
University of Kentucky —Lexington, KY
- $19.56 - $31.29 an hour
- Online Application
- Hybrid work
- Background check
- Customer service
- Pass drug screening
8d
Office Administrator
A&W Restaurants Inc —Lexington, KY
- $25 - $30 an hour
- Part-time
- Hybrid work
- Office
- Restaurant
- Entry level
Medication Authorization Advocate Non Specialty
Ascension —Hopkinsville, KY
- $19.73 - $26.70 an hour
- Full-time
- Remote
- Mid-level
- High school diploma or GED
- 1 year
- Disability insurance
- Health insurance
19h
Executive Coordinator II
American Red Cross —Louisville, KY
- Full-time
- 7 years
- Mid-level
- Office
- Paid holidays
- Disability insurance
Administrative Assistant
Franklin County Fiscal Court —Frankfort, KY
- $20 - $22 an hour
- Microsoft Excel
- Writing skills
- Basic math
Quick Apply
Mgr., Rates & Regulatory
East Kentucky Power Cooperative —Winchester, KY
- Full-time
- Hybrid work
- 5 years
- Public speaking
- Office
- Health insurance
- Dental insurance
LPCA, LMFT, CSW Mental Health Counselor
Smith Learning Services —Lexington, KY
- Choose your own hours
- Private practice
- LMFT
- Experience working with individuals with disabilities
Quick Apply
CLINIC REGISTERED DIETITIAN (CLINIC RD) [Code: HCRD]
Northern Kentucky Health Department —Florence, KY
- $31.92 - $39.17 an hour
- Full-time
- Spanish
- English
- Mid-level
- Health insurance
- Dental insurance
Clinical Team Manager
Silverleaf Sexual Trauma Recovery Services —Elizabethtown, KY
- From $70,478 a year
- Full-time
- Background check
- LMFT
- Licensed Clinical Social Worker
- Paid training
- Continuing education credits
Quick Apply
Adolescent Therapist
Astra Behavioral Health —Bardstown, KY
- $50,000 - $100,000 a year
- Full-time
- School experience
- LMFT
- Licensed Clinical Social Worker
- Health insurance
- Dental insurance
Quick Apply
Admissions and Social Services Director
Menifee Meadows Nursing and Rehab —Frenchburg, KY
- $19 - $23 an hour
- Full-time
- Skilled nursing facility
- Mid-level
- US work authorization
- Health savings account
- Disability insurance
Quick Apply
8d
Construction Scheduler & Dispatcher
B2M Plumbing —Elizabethtown, KY
- $45,000 - $60,000 a year
- Full-time
- Mid-level
- Residential
- Computer skills
- Health insurance
- Dental insurance
Quick Apply
12d

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Senior Coordinator, Complaint & Appeals - Remote

CVS Health -
Kentucky

Apply Now

Job Details

Full-time
$18.50 - $38.82 an hour
7 days ago

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance

Qualifications

Research
Policy analysis

Full Job Description

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.

Position Summary

Responsible for Oversight of that that investigates and resolution of appeals scenarios for all products, which may contain multiple issues and, may require coordination of responses from multiple business units. Ensure timely, customer focused response to appeals. Identify trends and emerging issues and report and recommend solutions. Independently coaches others on appeals ensuring compliance with Federal and/or State regulations. Manage control and trend inventory, independently investigate, adapts to changes or revise policy to resolve the most escalated cases coming from internal and external constituents for all products. Responsible for serving as the point of contact for the appeal if there is an inquiry from leadership, compliance and State regulators. Understand and adapt to departmental process and policies. Medicare knowledge is a plus. Fast Turn Around of inventory, collaboration with clinical team and management. Attention to detail is needed and must be able to maintain compliance turn-around times, with accurate case resolution or research. Remain a part of the solution by escalating issues that may impact compliance timeliness. Additional duties as assigned which will include a carrying a modified case load including but not limited to:

Serves as a content model expert and mentor to team regarding Aetna's policies and procedures, regulatory and accreditation requirements.
Ensures work of team meets federal and state requirements and quality measures, with respect to letter content and turn-around time for appeals, complaints and grievances handling.
Independently researches and translates policy and procedures into intelligent and logically written responses for Executive or Senior leaders on escalated cases.
Successfully works across functions, segments, and teams to create, populate, and trend reports to find resolution to escalated cases.
Identify potential risks and cost implications to avoid incorrect or inaccurate responses and/or decisions which may result in additional rework, confusion to the constituents, or legal ramifications.
Additional duties as assigned which will include a carrying a modified case load including but not limited to:-Research incoming electronic appeals, complaints and grievance to identify if appropriate for unit based upon published business responsibilities. Identify correct resource and reroute inappropriate work items that do not meet appeals, complaints and grievance criteria.
Research Standard Plan Design or Certification of Coverage (Evidence of Coverage) relevant to the member to determine accuracy/appropriateness of benefit/administrative denial.
Research claim processing logic to verify accuracy of claim payment, member eligibility data, billing/payment status, prior to initiation of appeal process.
-Research incoming electronic appeals, complaints and grievance to identify if appropriate for unit based upon published business responsibilities. Identify correct resource and reroute inappropriate work items that do not meet appeals, complaints and grievance criteria.
Research Standard Plan Design or Certification of Coverage relevant to the member to determine accuracy/appropriateness of benefit/administrative denial.
Identify and research all components within member or provider/practitioner appeals, complaints and grievance for all products and services.

Required Qualifications

At least 2+ years in one of the following areas: claim platforms, products, and benefits; patient management; product or contract drafting; compliance and regulatory analysis; special investigations; provider relations; customer service or audit experience

Preferred Qualifications

Some Medicare and/or Medicaid knowledge
Experience in reading or researching benefit language
Ability to work in fast paced, high volume environment
Excellent verbal and written communication skills
Excellent organizational skills to handle high inventory which aids in meeting or exceeding metrics
Solution driven and can handle complex issues with accuracy

Education

High School or GED

Anticipated Weekly Hours

Time Type

Full time

Pay Range

The typical pay range for this role is:

$18.50 - $38.82

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.

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.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

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.

Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 07/30/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Apply Now

Refine Your Search

administrative services jobs in kentucky

Senior Coordinator, Complaint & Appeals - Remote

Complaint Appeals, Senior Coordinator - Fully Remote

Administrative Specialist

HR Shared Services Specialist

Administrative Specialist Senior

Field Service Eng

Admin Assistant

Leave Specialist - REMOTE

Research & Program Coordinator

Office Administrator

Medication Authorization Advocate Non Specialty

Executive Coordinator II

Administrative Assistant

Mgr., Rates & Regulatory

LPCA, LMFT, CSW Mental Health Counselor

CLINIC REGISTERED DIETITIAN (CLINIC RD) [Code: HCRD]

Clinical Team Manager

Adolescent Therapist

Admissions and Social Services Director

Construction Scheduler & Dispatcher

I want to receive the latest job alert for administrative services in kentucky

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