Assoc MgrClaim Processing

Full Time
Arizona
Posted
Job description
The Associate Manager position will provide leadership to processors of the Commercial DMR Team. This position will be responsible for oversight of the Commercial DMR procedures performed by the DMR Team along with oversight of the Business Support Team that performs research and quality review regarding adjudication related Commercial book of business and other issues.

This role is expected to provide oversight and direction to the team in accordance with the departmental policies and procedure and CMS guidance and client's Intent. In this role, you will coach, mentor and develop staff including providing career development planning and opportunities. Additional responsibilities include monitoring and reporting of trending, root cause analysis, innovative solutions and statistical data.

Pay Range
The typical pay range for this role is:
Minimum: 43,700
Maximum: 97,400

Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will take into account a wide range of factors, including location.

Required Qualifications
  • 3 years of PBM experience
  • 1 year of experience Microsoft Excel, Word, Outlook, Access, SharePoint
  • 1 year of managing/supervising experience

COVID Requirements

COVID-19 Vaccination Requirement
CVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated.

You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.

Preferred Qualifications
  • Knowledge of adjudication systems and platforms
  • Effective leadership skills
  • Able to discern behavioral trends and outcomes
  • Well organized with the ability to effectively prioritize work
  • Attention to detail
  • Ability to think of creative solutions
  • Flexible in adapting to changes
  • Skilled in identifying and solving issues to conclusion
  • Ability to work effectively cross-functionally
  • Excellent written and oral communication
  • Demonstrate ability to document and present concepts in a clear and concise manner

Education
  • Verifiable GED or High School Diploma is required

Business Overview
Bring your heart to CVS Health
Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.

Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.
We strive to promote and sustain a culture of diversity, inclusion and belonging every day.
CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.

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