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Executive Director, Coordination of Benefits & Recovery Operations

https://www.cvshealth.com/ Logo

CVS Health

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Location:
United States , Hartford

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Category:
Customer Service

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Contract Type:
Employment contract

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Salary:

131500.00 - 303195.00 USD / Year
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Job Description:

The Executive Director, Coordination of Benefits & Recovery Operations is responsible for setting and executing the operational strategy for the functions. This role applies deep knowledge of organizational strategy, regulatory requirements, and the external healthcare landscape to ensure financial performance, operational efficiency, and service excellence. The leader establishes policies, programs, and governance to consistently meet or exceed established KPIs and SLAs in partnership with business stakeholders.

Job Responsibility:

  • Lead Coordination of Benefits and Recovery Operations processes, ensuring alignment with overall business strategy
  • Establish organizational policies, goals, and operating standards based on industry best practices
  • Drives analysis and forecasting of key financial and operational drivers
  • provide recommendations to adjust budgets and business plans based on membership growth and healthcare utilization trends
  • Partner closely with Payment Integrity leadership to ensure workflows, dependencies, and handoffs across teams are aligned and optimized
  • Provide executive oversight for consolidation, restructuring, and business transactions impacting Coordination of Benefits and Recovery Operations
  • Ensure customer service standards are consistently met and all KPIs and SLAs are achieved
  • Develop and implement methodologies that drive quality improvement, operational efficiency, and cost containment across products, services, and solutions
  • Lead, coach, and develop teams through ongoing feedback and formal performance management processes, driving engagement, accountability, and high-performance culture

Requirements:

  • 15+ years of progressive experience leading large-scale operations, including management of both direct and indirect FTEs
  • Strong experience managing KPIs and SLAs in an operational environment
  • Deep healthcare industry experience, specifically in cost containment and recovery-related operations
  • Experience leading data‑driven recovery operations and/or Coordination of Benefits functions is highly preferred
  • Ability to work Hybrid Model (in office Tuesday / Wednesday / Thursday) Preferred
  • Bachelor’s degree preferred or equivalent combination of education, specialized training, and relevant professional experience

Nice to have:

  • Experience leading data‑driven recovery operations and/or Coordination of Benefits functions is highly preferred
  • Ability to work Hybrid Model (in office Tuesday / Wednesday / Thursday)
What we offer:
  • medical, dental, and vision coverage
  • paid time off
  • retirement savings options
  • wellness programs
  • CVS Health bonus, commission or short-term incentive program
  • equity award program

Additional Information:

Job Posted:
May 10, 2026

Expiration:
May 26, 2026

Employment Type:
Fulltime
Work Type:
Hybrid work
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