Manager - Medicare Complaints Operations - Technical, CVS Health

CVS Health

Location:
United States, Remote

Category:
IT - Administration

Contract Type:
Employment contract

Salary:

60300.00 - 145860.00 USD / Year

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Job Description:

As an Individual Contributor Manager of Medicare Complaints Operations - Technical, you will play a vital role in managing business operations and system initiatives that focus on streamlining complaint processes and maintaining data integrity. This role is pivotal in driving continuous improvement and ensuring the organization meets its operational goals.

Job Responsibility:

Collaborate with internal and external audit teams to provide necessary data and insights
Monitor and enhance the quality of Operational Management Tools (OMT) by implementing best practices
Generate and distribute regular reports on OMT metrics
Manage user access to systems and tools
Develop and maintain comprehensive reporting systems for vendor performance
Lead the oversight of Corrective Action Plans (CAP) and implement self-monitoring processes
Evaluates evolving business requirements and recommends appropriate systems alternatives
Prepares communications and makes presentations on system enhancements
Conducts quantitative and qualitative analyses to assess business performance
Design, develop, and maintain Quickbase applications
Compiles clear and comprehensive documentation
Collects and analyzes business data to identify trends, patterns, and insights
Develops basic process maps, flowcharts, and diagrams
Conducts meetings, workshops, and presentations to gather feedback

Requirements:

3+ years of proven experience in business analytics, data management, or a related field, with a focus on analyzing unstructured data
Knowledge of statistical analysis techniques and tools
Proficient in using QuickBase, including building, editing, and repairing existing databases
Experience creating materials (dashboards, reports, presentations, etc.) for a senior leadership audience
Proficiency in analytics tools and software, including reporting platforms
Excellent problem-solving skills and critical thinking abilities
Strong collaboration and communication skills (both written and oral)
Ability to work independently and collaboratively in a fast-paced environment across multiple teams
Excellent knowledge of Excel, Access, Visio, Word, and/or PowerPoint
Willingness to understand business needs and create strategies around them
Experience working in a data warehouse environment, with the ability to handle large data sets from multiple sources
Strong analytical skills with the ability to interpret complex data sets
Ability to prioritize work and perform independently
Proven track record of leading or managing large projects
2+ years of experience with Medicare Advantage products
Bachelor's Degree or equivalent experience

Nice to have:

5+ years of experience as a Data Analyst or in a similar role
Experience building, maintaining, and editing Tableau and Microsoft BI dashboards/reports
5+ years of experience with Medicare Advantage products
Advanced degree in Business, Finance, Accounting, or Healthcare
5+ years of experience in product management

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 and 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 15, 2025

Expiration:
October 17, 2025

Employment Type:

Fulltime

Work Type:

Remote work

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Manager - Medicare Complaints Operations - Technical