Associate Manager - Quality

CVS Health•Work At Home-Pennsylvania, PA

9d•$46,988 - $102,000

About The Position

The Associate Manager - Quality oversees Quality staff, organizes and develops high-performing teams, and works with functional area managers to ensure consistency in monitoring and reporting. The role manages performance and resources for monitoring needs, builds and maintains a strong team through selection, training, coaching, and development, and validates team effectiveness through scorecards and monitoring. The role collaborates to identify trends and recommend solutions, facilitates and presents at Appeals team meetings, mentors team members on processes, problem resolution, and critical thinking, and may serve as a liaison with other business areas or assist with developing and facilitating training. It also participates in hiring and helps create a positive workspace by recognizing contributions, seeking input, and providing assistance as needed. Flexibility, approachability, professionalism, and an understanding of team members’ needs are expected.

Requirements

5+ years of Medicare Appeals background.
Microsoft Office experience.
Knowledge of Appeals job aids and workflows.
Strong communication skills, including the ability to provide and receive feedback.
Excellent time management skills.
Working knowledge of regulatory and accreditation requirements, benefit plans, and/or contractual arrangements.
High school diploma.

Nice To Haves

2+ years of Quality experience.
QuickBase experience.
Training or leadership/management experience.
Knowledge of CMS guidance.
Associate degree preferred.

Responsibilities

Oversee Quality staff and organize and develop 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 meetings within the Appeals team.
Mentor the team on processes, problem resolution, and critical thinking.
May act as a liaison with other key business areas.
May assist in developing and facilitating new training.
Participate in the hiring process of staff.
Create a positive workspace by recognizing team contributions, soliciting input, and assisting as needed.