Appeals & Projects Lead - Team Development & Compliance

CVS Health; New York (NY); On-site; USD 54,000 - 159,000; Full time

Benefits offered by this job

Health insurance

Retirement plan

Job summary

CVS Health in New York seeks an experienced supervisor for the Appeals team. You will build and maintain a high-performing line through training, coaching and staff development, and validate the effectiveness of projects managed by the team through data validation.

You will facilitate meetings, collaborate with business stakeholders to define processes for readiness and regulatory compliance, assess development needs, and drive action plans.

Qualifications

• 3+ years Appeals background
• Microsoft Office experience
• Knowledge of Appeals job aids/workflows
• Strong Communication skills - ability to provide and receive feedback
• Excellent time management skills
• 2+ years of supervisory experience
• Ability to work collaboratively across teams
• Strong analytical skills focusing on accuracy and attention to details

Responsibilities

• Build and maintain a solid team through training, coaching and developing staff.
• Validate effectiveness of the different projects managed by appeals team through universe data validation.
• Facilitate and present at meetings within the Appeals team.
• Establish and maintain collaboration with the business, consistent processes defining the overview and readiness of appeals to help remain compliant with regulatory and accreditation requirements.
• Assess developmental needs and collaborate with others to identify and implement action plans that support the development of high performing teams and individuals.
• Manage projects and identify trends and recommends/acts on solutions.
• Report capabilities related to audit requests and universe submissions.

Skills

Appeals background

Microsoft Office

Appeals workflows

Communication skills

Time management

Supervisory experience

Collaboration

Attention to detail

Education

High school diploma

Bachelor's degree

Tools

QuickBase

CMS guidance

Job description

CVS Health in New York seeks an experienced supervisor for the Appeals team. You will build and maintain a high-performing line through training, coaching and staff development, and validate the effectiveness of projects managed by the team through data validation.

You will facilitate meetings, collaborate with business stakeholders to define processes for readiness and regulatory compliance, assess development needs, and drive action plans.