[Hiring] Associate Manager - Quality @CVS Health

Role Description

Oversight of Quality staff including the organization and development of high performing teams.

• Works closely with functional area managers to ensure consistency in monitoring and reporting activities.
• Manages performance and resources for monitoring needs.
• Build and maintain a solid team through selecting, training, coaching and developing staff.
• Collaborate to build bridges, identify trends and recommend solutions.
• Validate effectiveness of the team through scorecards and monitoring.
• Facilitate and present at meetings within the Appeals team.
• Flexibility to accommodate team needs with a solutions-based attitude.
• Remain approachable, professional, and understanding of the human needs of your team.
• Mentor the team regarding processes, problem resolution and critical thinking.
• May act as a liaison with other key business areas.
• May assist in development and facilitating new training.
• Participate in the hiring process of staff.
• Create a positive work space by recognizing team contributions, soliciting input, and assisting as needed.

Qualifications

• 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.

Requirements

• 2+ years Quality experience (Preferred)
• QuickBase experience (Preferred)
• Training or leadership/management experience (Preferred)
• Knowledge of CMS guidance (Preferred)

Benefits

• 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 and other resources, based on eligibility.