CVS Health

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Medicaid Client Benefits Configuration Manager

at CVS Health

Posted: 8/5/2020
Job Reference #: 1300263BR
Keywords: benefits

Job Description

Job Description
As a Client Benefits Configuration Manager, you will manage the day-to-day operations of a team of 8-15 individuals engaged in configuring & unit testing of client benefits for our existing Medicare clients and new client implementations. You will plan, direct, supervise, and help evaluate workflow and coordinate work activities to achieve service level goals, quality and efficiency of your high functioning team.

You will accomplish this by:
* Recommending operational improvements both strategically and in the day-to-day application of organizational policies and procedures
* Actively managing the performance of staff members to established Performance standards
* Developing a culture of collaboration, accountability, and continuous process improvement
Your success will be driven by the success of your team in their goals for exceeding quality metrics, turnaround times, as well as contributing to reduced service warranty payments to clients. Your healthcare industry knowledge, staff development and process improvement skills will also help with your success. You will operate in a fast-paced environment with tight deadlines so ability to operate autonomously and make key decisions is imperative. The contributions you will make will position CVS Health as a leader in client happiness and service in the PBM marketplace.

The ideal candidate will possess the following:
* Strong communication skills
* Ability to present information and respond to questions from groups of associates, leaders and clients
* Ability to comprehend statistical reporting and apply it to the operation of the department
* Advanced knowledge of spreadsheet, work flow management tools (Salesforce) and Root Cause Analysis techniques preferred
* Ability to recognize the needs of the staff, improve morale, decrease stress and burnout
* Demonstrate a clear understanding of company and client confidentiality
* Outstanding coaching/motivational skills at both an individual and team level
* Adaptable and able to move with change while maintaining a positive demeanor and strong role model for the Team

Required Qualifications
* At least 3 years of experience in Client Benefit operations with a focus on business analysis and quality assurance in a PBM industry or Managed Care account management, benefit plan design, or related field
* Willingness and Ability to Travel up to 30% for client support

Preferred Qualifications
* 3 or more years of experience in a Benefits Configuration and/or Quality Assurance role
* Experience leading and developing teams
* Experience with RxClaim or other claims adjudication systems

Education
* Bachelor's degree; equivalent work experience may substitute

Business Overview
At CVS Health, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.

We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, sex/gender, sexual orientation, gender identity or expression, age, disability or protected veteran status or on any other basis or characteristic prohibited by applicable federal, state, or local law. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!