Strategic Appeals & Projects Manager

CVS Health; Tallahassee (FL); On-site; USD 54,000 - 159,000; Full time

Job summary

CVS Health in Tallahassee is seeking a supervisor to lead the Appeals team, building and coaching a high‑performing group while ensuring processes align with regulatory and accreditation standards.

The role requires 3+ years in Appeals, strong communication and supervisory experience, and excellent analytical skills to validate project effectiveness and drive cross‑functional improvements.

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 in 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

Communication skills

Time management

Supervisory experience

Team collaboration

Analytical skills

Education

High school diploma or higher

Bachelor's degree or equivalent experience

Tools

Microsoft Office

QuickBase

CMS guidance

Job description

CVS Health in Tallahassee is seeking a supervisor to lead the Appeals team, building and coaching a high‑performing group while ensuring processes align with regulatory and accreditation standards.

The role requires 3+ years in Appeals, strong communication and supervisory experience, and excellent analytical skills to validate project effectiveness and drive cross‑functional improvements.