Medicaid Claims Operations Supervisor

4004 Aetna Medicaid Administrators; Phoenix (AZ); Hybrid; USD 44,000 - 85,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Paid time off

Retirement savings options

Wellness programs

Job summary

CVS Health is seeking a Supervisor of Service Operations to oversee a team of claim processors for Medicaid operations in a hybrid work setting. You will align daily processing activities with Health Plan metrics and drive performance through leadership and strategic resource planning.

The role requires strong problem-solving, organizational, and communication skills, plus experience with QNXT, SQL, and data-driven reporting. Office locations in the Phoenix area may apply.

Qualifications

• Strong problem-solving, organizational, and time management skills.
• Leadership experience and the ability to manage a team.
• Project management and inventory management capabilities.
• Excellent verbal and written communication skills; proficient with data/metrics.

Responsibilities

• Manage a team of claim processors and oversee daily operations for Medicaid claims.
• Monitor staff performance and development; provide coaching.
• Identify risks and collaborate with partners to improve processes.
• Prepare reports, trends, and results; communicate with leadership.
• Allocate resources to meet volume and performance standards in a fast-paced environment.

Skills

Leadership

Project management

Time management

Inventory management

Advanced Excel

QNXT

SQL

Quick Base

Communication

Education

High School Diploma or equivalent

Tools

QNXT

SQL

Quick Base

Job description

CVS Health is seeking a Supervisor of Service Operations to oversee a team of claim processors for Medicaid operations in a hybrid work setting. You will align daily processing activities with Health Plan metrics and drive performance through leadership and strategic resource planning.

The role requires strong problem-solving, organizational, and communication skills, plus experience with QNXT, SQL, and data-driven reporting. Office locations in the Phoenix area may apply.