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
Are you looking for an exciting opportunity to lead a dynamic team that is a key, strategic part of a Fortune 5 company in one of the fastest growing industry fields and an extremely stable line of business?
This challenging leadership role provides exposure to virtually all aspects of healthcare claims administration, from reinsurance/stop loss, data analytics, provider and broker relations, underwriting, eligibility, finance, client management and much more. You will have a unique opportunity to hone your skills as a critical thinker, people leader, problem solver, and highly effective communicator with a meticulous eye for detail and superior organization.
Acting as team lead, you will support and act as important liaison and subject matter expert between our internal and external stakeholders and the stop loss carriers. Managing a team of analysts and coordinators who facilitate stop loss claim filings, you will guide the overall oversight and reconciliation/resolution between the amount requested and the amount reimbursed by the stop loss carrier. All while leading a team of talented specialists in a face-paced, dynamic area.
Required Qualifications
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Minimum of 4 years of experience in healthcare claims processing
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Minimum of 5 year of experience with the suite of Microsoft applications (particularly, Excel)
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Minimum of 4 years of demonstrated people leadership
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Ability to work independently across a matrix team in a fast-paced environment
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Exceptionally strong interpersonal and communication skills (verbal and written)
Preferred Qualifications
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Stop Loss/reinsurance experience
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Exposure to a mainframe IBM AIX or AS/400 environments
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Experience in process design and optimization
Education
- 4 year undergraduate degree or equivalent
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$43,888.00 - $85,068.00
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.
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 Benefits | CVS Health (https://jobs.cvshealth.com/us/en/benefits)
We anticipate the application window for this opening will close on: 03/12/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
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.
