Supervisor, Service Operations

CVS Health Corporation; United States; Hybrid; USD 44,000 - 85,000; Full time

Benefits offered by this job

Medical, dental & vision coverage

Paid time off

Retirement savings options

Wellness programs

Job summary

CVS Health Corporation is seeking a Supervisor of Service Operations to lead a team of Medicaid claim processors and oversee all claim-related functions. The role drives alignment with health plan metrics, staff development, and cross-functional collaboration to optimize daily processing activities.

The position requires strong leadership, problem-solving, and advanced Excel skills, with hybrid work options and a performance-driven culture that values inclusion and teamwork.

Qualifications

• Strong problem-solving, organizational, and time management skills.
• Leadership experience.
• Project management.
• Inventory management.
• Excellent verbal and written communication.
• Advanced Excel Skills.
• QNXT Claim System.
• SQL Quick Base.

Responsibilities

• Managing a team of claim processors and overseeing daily operations for assigned health plan to achieve state required metrics.
• Manage employee performance and development.
• Identifies risks and barriers and collaborates with business partners to improve processes.
• Coaches and mentors team members, assisting with complex questions and customer interactions.
• Acts as liaison between staff and other areas, communicating workflow results, ideas, and solutions.
• Completes various business reports, including tracking, trending and results.
• Works with the Medicaid leadership team to allocate resources to meet volume and performance standards.
• Builds a cohesive team through collaboration, inclusion, and diverse thinking.

Skills

Leadership

Project management

Time management

Problem solving

Advanced Excel

Communication (verbal & written)

Inventory management

Education

High School Diploma or equivalent

Tools

QNXT

SQL

Quick Base

Job description

Position Summary

The Supervisor of Service Operations will maintain oversight of a team of claim processors and all claim related functions for Medicaid Claim Operations. We are seeking a highly motivated individual who will establish a clear vision aligned with company values and team goals. The claim Supervisor works with staff to align daily processing activities to successfully meet Health Plan metrics.

Responsibilities will include:

• Managing a team of claim processors and overseeing daily operations for assigned health plan to achieve state required metrics.
• Manage employee performance and development.
• Identifies risks and barriers and collaborates with business partners to improve processes.
• Coaches and mentors team members, assisting with complex questions and customer interactions.
• Acts as liaison between staff and other areas, communicating workflow results, ideas, and solutions.
• Completes various business reports, including tracking, trending and results.
• Works with the Medicaid leadership team to allocate resources to meet volume and performance standards.
• Builds a cohesive team through collaboration, inclusion, and diverse thinking.

Required Qualifications

• Strong problem-solving, organizational, and time management skills
• Leadership experience
• Project management.
• Inventory management.
• Excellent verbal and written communication.
• Advanced Excel Skills
• QNXT Claim System
• SQL Quick Base

Preferred Qualifications

• 2+ Years experience processing claims on the QNXT system
• Ability to navigate the hub, claim policies and procedures

Education

High School Diploma or equivalent

We support a hybrid work environment. If selected and you live near a suitable work location, you may be expected to comply with the hybrid work policy. Under the policy, all hires for in-scope populations should be placed into a hybrid or office-based location, working onsite three days a week. Aetna Service Operations office/hub locations will be discussed with the selected candidate.

Anticipated Weekly Hours 40

Time Type Full time

Pay Range

The typical pay range for this role is: $43,888.00 - $85,068.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.

This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families.

The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 09/29/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Our Work Experience

Our Work Experience is the combination of everything that's unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people.

Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful. They make choices according to what is best for the team, they live for opportunities to collaborate and make a difference, and they make us the #1 Top Workplace in the area.