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.

The Supervisor of Service Operations will maintain oversight of a team of claim processors and all claim related functions for Medicaid Claim Operations. We are seeking a highly motivated individual who will establish a clear vision aligned with company values and team goals. The claim Supervisor works with staff to align daily processing activities to successfully meet Health Plan metrics.

Responsibilities will include:

• Managing a team of claim processors and overseeing daily operations for assigned health plan to achieve state required metrics.
• Manage employee performance and development.
• Identifies risks and barriers and collaborates with business partners to improve processes.
• Coaches and mentors team members, assisting with complex questions and customer interactions.
• Acts as liaison between staff and other areas, communicating workflow results, ideas, and solutions.
• Completes various business reports, including tracking, trending and results.
• Works with the Medicaid leadership team to allocate resources to meet volume and performance standards.
• Builds a cohesive team through collaboration, inclusion, and diverse thinking.
• Ability to work in a fast-paced production environment.

Required Qualifications:

• Must be able to commute in office 3 days per week. Will be on site Tuesday - Thursday at one of the following locations; Phoenix AZ, Jacksonville FL, Moon Township PA, New Albany OH.
• Leadership experience 
• Project management.
• Inventory management.
• Excellent verbal and written communication.
• Advanced Excel Skills
• QNXT Claim System
• SQL
• Quick Base

Preferred Qualifications:

• 2+ Years experience processing claims on the QNXT system
• Ability to navigate the hub, claim policies and procedures
• Associates Degree or higher.

Education Requirements:

• High School Diploma or G.E.D

Pay Range

The typical pay range for this role is:

$43,888.00 - $85,068.00

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. 
 
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

We anticipate the application window for this opening will close on: 08/30/2024

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