Manager - Medicare Complaints Operation - Business Insight, CVS Health

CVS Health

Location:
United States

Category:
IT - Administration

Contract Type:
Not provided

Salary:

60300.00 - 145860.00 USD / Year

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Job Description:

As an Individual Contributor Manager of Medicare Complaints Operations - Business Insight, you will play a vital role in managing business operations and initiatives that focus on streamlining complaint processes and maintaining data integrity. You will oversee support operations for the Medicare Complaints Department teams, manage the quality of the Online Monitoring Tool, provide audit universe support, and compile and analyze reports for vendors.

Job Responsibility:

Manage business operations and initiatives focusing on streamlining complaint processes
Maintain data integrity
Oversee support operations for Medicare Complaints Department teams
Manage quality of Online Monitoring Tool
Provide audit universe support
Compile and analyze reports for vendors
Address staff system access issues
Monitor Corrective Action Plans
Develop and maintain QuickBase applications
Collaborate with internal and external audit teams
Generate and distribute regular reports on OMT metrics
Design cross-functional solutions to address business challenges
Apply statistical techniques, data mining, and predictive modeling

Requirements:

2+ years' experience in working in a data warehouse environment
2+ years' experience with Medicare Advantage products
Proficient using QuickBase
Experience creating materials for a Senior Leadership level audience
Excellent problem-solving skills and critical thinking ability
Strong collaboration and communication skills
Ability to work independently and collaboratively in a fast-paced environment
Excellent knowledge using Excel, Access, Visio, Word and/or PowerPoint
Willingness to understand business needs and to create strategies around them
Strong analytical skills with the ability to interpret complex data sets
Ability to prioritize work and perform independently
Proven track record leading or managing large projects

Nice to have:

3+ years of experience as a Data Analyst or in a similar role
Proficient in modifying QuickBase
building, editing, and repairing existing databases
Experience using and editing with reporting applications
5+ years of experience with Medicare Advantage products
Advanced degree in Business, Finance, Accounting, or Healthcare

What we offer:

Affordable medical plan options
401(k) plan with matching company contributions
Employee stock purchase plan
Wellness screenings
Tobacco cessation and weight management programs
Confidential counseling
Financial coaching
Paid time off
Flexible work schedules
Family leave
Dependent care resources
Colleague assistance programs
Tuition assistance
Retiree medical access

Additional Information:

Job Posted:
October 16, 2025

Expiration:
October 17, 2025

Employment Type:

Fulltime

Work Type:

Remote work

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Manager - Medicare Complaints Operation - Business Insight