Senior Manager of Claims Operations - Remote

Overview

The Senior Manager of Claims Operations at CVS Health provides strategic leadership and oversight to ensure exceptional customer experiences in the healthcare sector.

In Short

• Lead a team of approximately 20 claims processors.
• Optimize operational aspects of service delivery.
• Conduct research on industry trends and best practices.
• Manage resources including staff, equipment, and budgets.
• Identify opportunities for process improvement.
• Implement quality assurance programs.
• Leverage technology to streamline operations.
• Evaluate service expansion opportunities.
• Provide ongoing training and development for staff.
• Drive customer loyalty and satisfaction.

Requirements

• Minimum 7 years of experience in claims operations.
• Healthcare industry experience, preferably with TPA in self-funding.
• Prior leadership experience managing large teams.
• Adept at execution and delivery.
• Strong problem-solving and decision-making skills.
• Mastery of growth mindset skills.
• Bachelor’s degree preferred.
• Specialized training or relevant professional qualification.

Benefits

• Comprehensive medical plan options.
• 401(k) plan with company matching.
• Employee stock purchase plan.
• No-cost wellness programs.
• Flexible work schedules and paid time off.
• Tuition assistance and family leave.
• Confidential counseling and financial coaching.
• Dependent care resources.
• Retiree medical access.
• Various other benefits based on eligibility.