Sr Manager Service Operations

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Job Description

Manager, Service Operations will oversee 5 to 7

Supervisors and their corresponding teams of processors.

Total line of site would be @ 85 to 100 FTE's including

Supervisors. Primary responsibilities are managing

Medicare first pass claim adjudication on the HRP platform

according to CMS guidelines. The role is responsible for

coaching and development as well as other claim related

work streams that may include ECHS/Correspondence,

Quality outcomes, CTM and Complaint avoidance and

rework reduction. Solid communication skills and ability to

collaborate across Business Units to achieve outcomes.

Pay Range

The typical pay range for this role is:

Minimum: 75,400

Maximum: 162,700

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

Required Qualifications

Direct experience managing staff in a production

environment. Experience coaching, developing staff and

leading process improvement initiatives to achieve quality

and turnaround metrics. Leading teams for success and

overseeing inventories for multiple work streams. Ability to

work across boundaries and drive outcomes.

Previous experience managing a team of supervisors

Experience managing large teams with a span of control of 75 employees.

Health care experience.

5 years Medical claim processing experience.

Preferred Qualifications

5 years of Medicare claims operations experience

Medicare claim processing experience with a focus on inventory management and quality outcomes. Experience

in process improvement, developing and implementing

effective action plans.

Education

Bachelor degree or equivalent direct work experience.

Business Overview

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. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.

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Company info

CVS Health.
Website : https://www.cvshealth.com