Associate Manager – Quality

CVS Health

. Oversee Quality staff, including organization and development of high-performing teams .

Posted 10/9/2026full-timeRemote • Pennsylvania • United StatesMid-Level💰 $46,988 - $102,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in managing Quality staff and overseeing Medicare Appeals processes, with a strong focus on team development, regulatory compliance, and effective communication. Proven ability to mentor teams, facilitate training, and implement solutions based on data-driven insights.

Highest-signal resume keywords

Medicare Appeals ExperienceQuality ManagementStrong Communication SkillsTraining and Leadership ExperienceRegulatory Knowledge

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Quality ManagementMedicare AppealsRegulatory ComplianceTime ManagementProblem Resolution

Soft Skills

Team DevelopmentCollaborationCritical ThinkingFeedback ProvisionSolutions-Based Attitude

Tools & Technologies

Microsoft OfficeQuickBase

Industry Keywords

CMS GuidanceAccreditation RequirementsBenefit Plan KnowledgeContractual ArrangementsAppeals Job Aids

About the role

Key responsibilities & impact

Oversee Quality staff, including organization and development of high-performing teams
Work with functional area managers to ensure consistency in monitoring and reporting activities
Manage performance and resources for monitoring needs
Select, train, coach, and develop staff
Collaborate to identify trends and recommend solutions
Validate team effectiveness through scorecards and monitoring
Facilitate and present at Appeals team meetings
Accommodate team needs with a solutions-based attitude
Mentor the team on processes, problem resolution, and critical thinking
Act as a liaison with other key business areas
Assist in developing and facilitating new training
Participate in staff hiring
Create a positive workspace by recognizing contributions, soliciting input, and assisting as needed

Requirements

What you’ll need

5+ years Medicare Appeals background
Microsoft Office experience
Knowledge of Appeals job aids/workflows
Strong Communication skills - ability to provide and receive feedback
Excellent time management skills
Requires working knowledge of regulatory and accreditation requirements, benefit plan and/or contractual arrangements
2+ years Quality experience (preferred)
QuickBase experience (preferred)
Training or leadership/management experience (preferred)
Knowledge of CMS guidance (preferred)

Benefits

Comp & perks

Medical coverage
Dental coverage
Vision coverage
Paid time off
Retirement savings options
Wellness programs
Other resources supporting physical, emotional, and financial well-being