Senior Manager, Medicaid Provider Data Services, CVS Health

Senior Manager, Medicaid Provider Data Services

CVS Health

Location:

United States, Hartford

Category:

Health and Beauty

Contract Type:

Employment contract

Salary:

67900.00 - 199144.00 USD / Year

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Job Description:

This role is focused on healthcare provider support, leading a team with responsibilities for contract loads, demographic updates, data audits, production, and inventory management. The position requires expertise in Medicaid, Medicare, and Commercial healthcare, strong communication and leadership skills, and experience with business systems and project management.

Job Responsibility:

Performing contract loads, demographic updates and data audits
Production and inventory management within the Medicaid Provider Data Service business organization
Leading a team
Managing escalated issues
Driving decisions based on data analysis
Establishing strategy for team and balancing priorities and workload.

Requirements:

3-5 years of prior management experience
5-7 years' experience provider relations and contract resolutions
Strong communication, critical thinking, problem resolution and interpersonal skills with proven ability to influence and collaborate with providers and internal partners at all levels
Advance working knowledge of business systems, applications, and tools supporting provider data and inventory management
Familiarity working in Medicaid, Medicare and Commercial lines of business
Strong project management skills
Desktop Tool experience - Microsoft Office Suite.

Nice to have:

Demonstrates mastery of Medicaid Provider Data Services job responsibilities and associated criteria
Oversee the day-to-day activity and Inventory and production across the team, with a demonstrated ability to set clear direction and hold team members accountable and meet business areas goals and adhere to state compliance TAT
Responsible for establishing strategy for team and balancing priorities and workload in order to achieve department goals
Strong leadership qualities, strong communication skills, and strategic thinking
Uses independent judgment to make decisions to put the team in the best position to succeed and meet expectations
Able to provide guidance to team and drive decisions based on data analysis
Handles escalated issues from the team and removes barriers to help team be successful
Facilitate team meetings
Facilitate Medicaid bi-weekly meeting with our business partners.

What we offer:

Medical, dental, and vision benefits
401(k) retirement savings plan
Employee Stock Purchase Plan
Fully-paid term life insurance plan
Short-term and long-term disability benefits
Well-being programs
Education assistance
Free development courses
CVS store discount
Discount programs with participating partners
Paid Time Off (PTO) or vacation pay
Paid holidays.

Additional Information:

Job Posted:

March 19, 2025

Expiration:

April 28, 2025

Employment Type:

Fulltime

Work Type:

Remote work

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