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Lead Director, Medicaid Provider Data Operations

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Tampa, Florida - FL CVS Health

Job Ref:  R0224258
Employer:  CVS Health
Category:  Insurance
Job Type:  Full Time

Location

State:  Florida - FL
City:  Tampa
Post Code:  33614
Map: 
Florida , Tampa, 33614 (Show on map)

Description

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver.

Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.

Position Summary

You will oversee Medicaid provider data operations related to claim pends, new business implementations and provider data accuracy improvements initiatives.

Looking for talent that can:

-Build and develop strong functional operation management team through formal training, diverse assignments, coaching, communication, mentoring and performance management.
-Cultivate and manage relationships with various internal teams.
-Create process improvement strategy to address developing internal trends e.g. changes in others' roles, error trends and external constituent needs, e.g. provider requirements for data.
-Drive change management through the organization to support competitive and changing environment.

When you are a part of CVS Health, you're a part of something big. Something unprecedented! You share in our single, clear purpose: helping people on their path to better health.

As a colleague, you will receive a comprehensive benefits package that includes competitive, flexible and personalized programs for managing your overall well-being.

What are we looking for in our colleagues? We are looking for fresh ideas, fresh opinions, a diversity of experiences, that will help us better meet the needs of the many people and businesses that rely on us each day. Our client-focused colleagues work every day to improve the lives of our customers.

Required Qualifications

10+ years of directly related health care experience
5+ years of provider operations experience
5+ years of provider relations related activities
2+ years of provider data and/or provider contracting activities/support

1+ years of new business implementation focus in Medicaid

Preferred Qualifications

*Project management experience.
*Provider data and provider contracting.
*Working knowledge of quick base, excel and other tools for working with provider data.
*Proven ability to work collaboratively at all levels.
*Ability to effect change.
*Exercise sound judgment and demonstrates analytical/data-driven decision making skills.
*Understand provider contracts, contracting options, and operational issues related to provider relations.

Education Bachelor's degree or equivalent work experience

Pay Range

The typical pay range for this role is:
$100,000.00 - $231,500.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company's equity award program.

In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company's 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off ('PTO') or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.

For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits
We anticipate the application window for this opening will close on: 07/08/2024
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