Associate Manager – Quality

Job not on LinkedIn

🔥 14 hours ago

🔔 Pennsylvania – Remote

🔔 Pennsylvania – Remote

💵 $47k - $102k / year

⏰ Full Time

🟡 Mid-level

👔 Manager

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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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

• Oversee Quality staff, including organization and development of high-performing teams • Work with functional area managers to ensure consistency in monitoring and reporting activities • Manage performance and resources for monitoring needs • Select, train, coach, and develop staff • Collaborate to identify trends and recommend solutions • Validate team effectiveness through scorecards and monitoring • Facilitate and present at Appeals team meetings • Accommodate team needs with a solutions-based attitude • Mentor the team on processes, problem resolution, and critical thinking • Act as a liaison with other key business areas • Assist in developing and facilitating new training • Participate in staff hiring • Create a positive workspace by recognizing contributions, soliciting input, and assisting as needed

🎯 Requirements

• 5+ years Medicare Appeals background • Microsoft Office experience • Knowledge of Appeals job aids/workflows • Strong Communication skills - ability to provide and receive feedback • Excellent time management skills • Requires working knowledge of regulatory and accreditation requirements, benefit plan and/or contractual arrangements • 2+ years Quality experience (preferred) • QuickBase experience (preferred) • Training or leadership/management experience (preferred) • Knowledge of CMS guidance (preferred)

🏖️ Benefits

• Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being