Note: The job is a remote job and is open to candidates in USA. CVS Health is focused on creating a more connected, convenient, and compassionate health care experience. The Supervisor of Service Operations will oversee Medicaid claim processors and daily claim operations, ensuring health plan metrics are achieved. The role also manages employee performance, supports process improvement, coaches team members, and coordinates resources and reporting.
Responsibilities
- 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
Skills
- 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
- High School Diploma or equivalent
- 2+ Years experience processing claims on the QNXT system
- Ability to navigate the hub, claim policies and procedures
Benefits
- 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.
- Medical, dental, and vision coverage
- Paid time off
- Retirement savings options
- Wellness programs
- Other resources, based on eligibility
- CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above
- Hybrid work environment; eligible hires may work onsite three days a week under the hybrid work policy
Company Overview