CVS Health-posted 6 days ago
Full-time • Manager
Onsite
5,001-10,000 employees

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. Position Summary This role will site on-site in Hartford, CT. The Project Manager will lead and support initiatives focused on member communications, claim payment and product, and operational excellence. This role partners cross-functionally with multiple business partners and vendor teams to drive improvements in outreach, reporting, and member experience. Collaborate with Marketing and Digital teams to assess current processes and use analytics to recommend future improvements. Review and optimize outreach processes, including call volume, member satisfaction rates, and effectiveness. Recommend and implement best practices for communication channels and outreach volume. Create long-term recommendations for communication prioritization and arbitration needs; support communication personalization strategy. Measure and communicate the impact of solutions to leadership. Track daily, weekly, and monthly activity; identify outliers and assist with variance reporting. Ensure timely execution and utilization of data extracts and automation reports for analysis. Provide business operational support for Aetna’s communication applications including reporting, customer service, taxonomy integrity, and security access. Partner with Legal and Compliance to address regulatory changes impacting member/provider payment and communications. Provide communication applications and product and payment feature updates and support user testing.

  • Lead and support initiatives focused on member communications, claim payment and product, and operational excellence.
  • Partner cross-functionally with multiple business partners and vendor teams to drive improvements in outreach, reporting, and member experience.
  • Collaborate with Marketing and Digital teams to assess current processes and use analytics to recommend future improvements.
  • Review and optimize outreach processes, including call volume, member satisfaction rates, and effectiveness.
  • Recommend and implement best practices for communication channels and outreach volume.
  • Create long-term recommendations for communication prioritization and arbitration needs; support communication personalization strategy.
  • Measure and communicate the impact of solutions to leadership.
  • Track daily, weekly, and monthly activity; identify outliers and assist with variance reporting.
  • Ensure timely execution and utilization of data extracts and automation reports for analysis.
  • Provide business operational support for Aetna’s communication applications including reporting, customer service, taxonomy integrity, and security access.
  • Partner with Legal and Compliance to address regulatory changes impacting member/provider payment and communications.
  • Provide communication applications and product and payment feature updates and support user testing.
  • Project Management: Ability to manage multiple projects and deliverables in a fast-paced environment.
  • Analytical Skills: Strong data analysis and reporting capabilities; experience with variance reporting and identifying operational outliers.
  • Communication: Excellent written and verbal communication skills, including experience with plain language writing for member communications.
  • Stakeholder Management: Ability to collaborate with cross-functional teams (Marketing, Digital, Legal, Compliance, Vendors).
  • Process Improvement: Experience reviewing and optimizing outreach and engagement processes.
  • Technical Acumen: Familiarity with digital platforms, mobile apps, AI, MS Office Suite, and communication tracking tools.
  • Bachelor’s degree in Business, Communications, Healthcare Administration, or related field.
  • Experience in healthcare, insurance, or member services environments.
  • Advanced proficiency in data analytics tools (e.g., Excel, Tableau, QuickBase, Archer, Power BI).
  • Demonstrated success in driving member satisfaction and engagement improvements.
  • Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
  • No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
  • Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
  • For more information, visit https://jobs.cvshealth.com/us/en/benefits
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