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Supervisor, Service Operations
CVS Health. Manage a team of claim processors and oversee daily operations for the assigned health plan to achieve state-required metrics .
Tech Stack
Tools & technologiesSQL
About the role
Key responsibilities & impact- Manage a team of claim processors and oversee daily operations for the assigned health plan to achieve state-required metrics
- Manage employee performance and development
- Identify risks and barriers and collaborate with business partners to improve processes
- Coach and mentor team members, assisting with complex questions and customer interactions
- Act as liaison between staff and other areas, communicating workflow results, ideas, and solutions
- Complete business reports, including tracking, trending, and results
- Work with the Medicaid leadership team to allocate resources to meet volume and performance standards
- Build a cohesive team through collaboration, inclusion, and diverse thinking
Requirements
What you’ll need- High School Diploma or equivalent
- Strong problem-solving, organizational, and time management skills
- Leadership experience
- Project management
- Inventory management
- Excellent verbal and written communication
- Advanced Excel Skills
- QNXT Claim System
- SQL
- Quick Base
- 2+ Years experience processing claims on the QNXT system (preferred)
- Ability to navigate the hub, claim policies and procedures (preferred)
- Ability to work in a fast-paced production environment
Benefits
Comp & perks- CVS Health bonus, commission or short-term incentive program in addition to base pay
- Medical coverage
- Dental coverage
- Vision coverage
- Paid time off
- Retirement savings options
- Wellness programs
- Other resources supporting physical, emotional, and financial well-being