CVS Health SupervisorQuality in Irving, Texas
As the Client Benefits Quality Supervisor, you will manage 5 or more quality analysts engaged in the quality delivery for new client implementation and maintenance of business. You will plan, direct, supervise and help evaluate workflow and coordinate work activities to achieve the service level goals, quality and productivity of your high functioning team. You will accomplish this by:- Recommending operational improvements both strategically and in the day-to-day application of organizational policies and procedures- Actively managing the performance of staff members according to established Key Performance standards- Developing a culture of collaboration and accountability- Ensuring timely and high quality deliverables both internal and external like RCAs (Root Cause Analysis), Creating and reviewing of Testing policies and procedures etc.
- 3+ years of experience in business operations with a focus on testing in a PBM industry or Managed Care.- 2+ years working with various testing or QA methodologies
- Knowledge of the Pharmacy Benefit Management and/or Health Insurance Industry from an operations perspective and healthcare-related experience with a general understanding of plan benefit design preferred- Experience with third party prescription/medical payment and/or claims adjudication systems desired- Good interpersonal skills and ability to effectively present information and respond to questions from groups of associates, managers and clients.- Ability to comprehend statistical reporting and apply it to the operation of the department.- Working knowledge of word processing, spreadsheet, work flow management tools and familiarity with scheduling software applications.- Ability to recognize the needs of the staff, heighten morale, and decrease stress and burnout.- Demonstrate a clear understanding of company and client confidentiality.- Exemplary coaching/motivational skills at both an individual and team level- Adaptable and able to move with change while maintaining a positive attitude and strong role model for the Team
- Bachelor's degree is required; equivalent work experience may substitute.
At CVS Health, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.
We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, sex/gender, sexual orientation, gender identity or expression, age, disability or protected veteran status or on any other basis or characteristic prohibited by applicable federal, state, or local law. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.
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