Senior Appeals & Projects Manager (Healthcare)

CVS Health; Springfield (IL); Sur place; USD 54 000 - 159 000; Plein temps

Résumé du poste

CVS Health is seeking a seasoned Appeals supervisor to lead and develop a team responsible for appeals processes. The role emphasizes coaching staff, validating project effectiveness, and presenting findings to the Appeals team.

You will collaborate with business partners to ensure compliance and readiness for audits and regulatory reviews. The position requires strong analytical skills, excellent communication, and a proven track record in supervising teams within an appeals environment.

Qualifications

• 3+ years Appeals background.

Responsabilités

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

Connaissances

Appeals background

Strong communication

Time management

Collaborative work

Analytical thinking

Formation

Bachelor's degree or equivalent experience

High school diploma or higher education

Outils

Microsoft Office

Description du poste

CVS Health is seeking a seasoned Appeals supervisor to lead and develop a team responsible for appeals processes. The role emphasizes coaching staff, validating project effectiveness, and presenting findings to the Appeals team.

You will collaborate with business partners to ensure compliance and readiness for audits and regulatory reviews. The position requires strong analytical skills, excellent communication, and a proven track record in supervising teams within an appeals environment.