Hybrid Senior Manager, Provider Claims Diagnostics

Posted 2 months ago

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About the role

  • Senior Manager managing provider claims diagnostics and improving provider experience at CVS Health. Leading strategic initiatives and collaborating with cross-functional teams to enhance healthcare delivery.

Responsibilities

  • Invest in targeted reviews of specific datasets / trends for visibility to process improvement opportunities
  • Serve as an internal subject matter expert for training & awareness
  • Develop presentations, case studies, timelines, and related material to implement strategy/change initiatives
  • Partner with other teams to rationalize findings & lessons learned
  • Help bring ‘voice of the provider’ into key workflow reviews and planning exercises
  • Collaborate with local market teams to account for trends impacted by market-specific dynamics
  • Monitor existing internal dashboards to assess trends and surface outlier performance
  • Leverage strong project management skills to monitor implementation and achieve successful outcomes
  • Establish contacts in diverse business areas for new learnings

Requirements

  • A minimum of 7 years’ experience in provider revenue cycle operations / optimization, payer relations, healthcare analytics
  • Ability to work collaboratively in a cross-functional team environment
  • Ability to effectively interact with all levels of management
  • Flexibility to support rapid adjustments to strategy and priorities
  • Proactive collaborative approach to service delivery
  • Strong customer focus
  • Strong sense of urgency to drive issues to closure
  • Demonstrated ability to analyze & synthesize quantitative and qualitative data
  • Experienced presenter with the ability to provide different views for different levels
  • Strong project management experience
  • Excellent verbal and written communication skills
  • Strong organizational skills

Benefits

  • Affordable medical plan options
  • 401(k) plan (including matching company contributions)
  • Employee stock purchase plan
  • No-cost wellness screenings
  • Tobacco cessation programs
  • Weight management programs
  • Confidential counseling
  • Financial coaching
  • Paid time off
  • Flexible work schedules
  • Family leave
  • Dependent care resources
  • Colleague assistance programs
  • Tuition assistance
  • Retiree medical access
  • Many other benefits depending on eligibility

Job title

Senior Manager, Provider Claims Diagnostics

Job type

Experience level

Senior

Salary

$67,900 - $199,144 per year

Degree requirement

Bachelor's Degree

Location requirements

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