Appeals & Projects Lead - Compliance & Training

CVS Health; Montpelier (VT); On-site; USD 54,000 - 159,000; Full time

Benefits offered by this job

Medical insurance

Dental coverage

Vision coverage

Paid time off

Retirement plan

Wellness programs

Job summary

CVS Health is seeking an Appeals team supervisor in Montpelier, VT to build and guide a high-performing staff through training, coaching, and development. The role focuses on validating project effectiveness using universe data and leading collaborative meetings within the Appeals group.

Responsibilities include establishing consistent processes with business partners for regulatory readiness, identifying developmental needs, and driving process improvements to support compliant operations.

Qualifications

• 3+ years of appeals background.
• Proficient in Microsoft Office.
• Knowledge of Appeals job aids/workflows.
• Strong communication and feedback skills.
• Excellent time management.

Responsibilities

• Build and maintain a solid team through training, coaching and developing staff.
• Validate effectiveness of projects managed by appeals team through universe data validation.
• Facilitate and present at meetings within the Appeals team.
• Collaborate with business to define processes ensuring readiness of appeals for regulatory compliance.
• Identify developmental needs and implement action plans for high-performing teams.
• Manage projects, identify trends, and recommend solutions.
• Report capabilities related to audit requests and universe submissions.

Skills

Appeals background

Microsoft Office

Communication skills

Time management

Supervisory experience

Collaboration across teams

Analytical skills

Education

High school diploma or higher

Bachelor's degree or equivalent experience

Tools

QuickBase

CMS guidance

Job description

CVS Health is seeking an Appeals team supervisor in Montpelier, VT to build and guide a high-performing staff through training, coaching, and development. The role focuses on validating project effectiveness using universe data and leading collaborative meetings within the Appeals group.

Responsibilities include establishing consistent processes with business partners for regulatory readiness, identifying developmental needs, and driving process improvements to support compliant operations.