Lead Director – Appeals and Grievances

Job not on LinkedIn

🔥 2 hours ago

🦌 Connecticut – Remote

🦌 Connecticut – Remote

💵 $100k - $231.5k / year

⏰ Full Time

🟠 Senior

👔 Director

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CVS Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1963

🏥 Healthcare

⚕️ Healthcare Insurance

🛒 Retail

Healthcare • Healthcare Insurance • Retail

CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.

📋 Description

• Administers project and process management initiatives, overseeing their execution and ensuring adherence to established standards and guidelines • Advises the general manager and senior leadership on project and process management strategies, providing insights and recommendations to drive organizational success • Aligns project and process management activities with the organization's overall business objectives and strategic direction • Approves project plans, budgets, and resource allocations, ensuring their alignment with project objectives and organizational priorities • Communicates strategically across the organization, fostering effective collaboration and alignment between project teams, stakeholders, and top management • Contributes to top-level decision making by providing project and process management expertise and insights, supporting the achievement of strategic goals • Controls all project and process management systems, resources, and activities, ensuring efficient and effective project delivery and process optimization • Counsels project teams and stakeholders, offering guidance and support to overcome challenges and achieve project goals • Defines programs and methodologies for project and process management, establishing best practices and frameworks to enhance project performance and efficiency

🎯 Requirements

• 5+ years of experience in appeals and claims operations, data analysis, or a related field, with at least 5 years in a leadership role • 5+ years in Project or program management • Proven track record of managing teams and driving continuous improvement initiatives in a complex, matrixed organization • Strong analytical and problem-solving skills, with the ability to interpret and present complex data • Excellent communication and interpersonal skills, with the ability to influence and engage stakeholders at all levels • Proficiency in data analysis tools and software (e.g., SQL, Tableau, Power BI, Excel)

🏖️ Benefits

• medical coverage • dental coverage • vision coverage • paid time off • retirement savings options • wellness programs • other resources, based on eligibility