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Senior Credentialing Operations Manager - Remote

Posted 2 days ago
All others
Full Time
USA
$67,900.00 - $199,144.00/year

Overview

The Senior Credentialing Operations Manager at CVS Health leads a team that delivers credentialing services, ensuring alignment with organizational goals and objectives while managing operational aspects and stakeholder communications.

In Short

  • Leads a business services unit for credentialing services.
  • Communicates direction for Credentialing Operations processes.
  • Analyzes performance of company programs and initiatives.
  • Formulates and implements strategy for credentialing operations.
  • Drives audit processes and reviews results for accuracy.
  • Partners with various departments for provider issues management.
  • Manages operational aspects including budget and compliance.
  • Responsible for managing a team of up to 20 employees.
  • Requires experience in Medicare, Medicaid, or Commercial Health Insurance.
  • Strong communication skills are essential.

Requirements

  • A minimum of 5 years working with provider data or credentialing.
  • A minimum of 3 years managing/leading a team.
  • Experience in health insurance is preferred.
  • Bachelor's degree preferred or equivalent experience.

Benefits

  • Comprehensive medical plan options.
  • 401(k) plan with matching contributions.
  • Employee stock purchase plan.
  • No-cost wellness programs and counseling services.
  • Flexible work schedules and paid time off.
  • Tuition assistance and dependent care resources.

A.R

Aetna Resources

Aetna Resources, a part of CVS Health, is a leading health solutions company dedicated to transforming healthcare for millions of Americans. With a workforce of over 300,000 passionate colleagues, Aetna focuses on providing connected, convenient, and compassionate care through various channels. The company emphasizes data intelligence to support its Medicare organization and Stars program, aiming to enhance member experiences and elevate Star ratings while adhering to regulatory guidelines. Aetna is committed to fostering a diverse and inclusive workplace, offering comprehensive benefits and a culture that values collaboration, trust, and innovation.

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