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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 SummaryThis could be a remote position preferred hybrid in Texas

• Lead a team of Medicaid Provider Data Services Analyst responsible for loading and maintaining Medicaid Provider data within Aetna QNXT.- Team will also include provider operations analyst and pre-cred support for implementation activities.- Provides assistance and support to other departments, as needed, to obtain crucial or required information from Providers, such as HEDIS, Credentialing, Grievance and Appeals, SIU, etc.- Coordinates provider status information with member services and other internal departments.- Recruits, develops, and motivates staff. Initiates and communicates a variety of personnel actions including, employment, termination, performance reviews, salary reviews, and disciplinary actions.- Monitors staff performance, including weekly staff metrics;Required Qualifications- 5+ years recent and related experience in Provider Operations, Provider Relations or Network operations.- 1+ years of experience in Medicaid and/or Medicare provider operations.- 2+ year of experience with ensuring the provider data entered into the provider database is accurate and the provider documentation is complete and accurate- 3+ years of experience in managing, coaching, and leading a team of Provider Data Services Analysts- 3+ years of experience supervising or managing a production oriented team.Preferred Qualifications- Strong collaboration skills

-Medicaid new state or expansion experience- Strong reporting and data analysis skills and experience- Ability to load balance and prioritize work in order to meet key performance metrics around TAT and quality- Drive and oversee productivity of staff- Experience with new Medicaid state implementation related to provider requirements.- Leadership skills including staff development- Critical thinking and problem solving skills- Familiarity with Provider Data/Enterprise systems- Strong skills in Microsoft products- QuickBase knowledgeEducation Bachelor's Degree or equivalent work experience

Pay Range

The typical pay range for this role is:

$75,400.00 - $166,000.00

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

We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.