Supervisor - Resolution
Location:
Scottsdale , Arizona
Posted:
December 18, 2017
Reference:
629226BR
Position Summary:
As the Resolution Supervisor, you will be overseeing a team of Resolution Analysts that perform research, case management, and resolution for formal Medicare D (Med D) Grievances. In this Resolution Supervisor role,
you will handle coaching, mentoring, monitoring, and reporting on team performance. You will also report on and monitor potential issues related to process and procedures.

As a Resolution Supervisor, you will:
  • Lead the team to meet or exceed performance standards and quality expectations
  • Participate in CMS-facing or client-facing meetings and presentations Perform case management, research and resolution
  • Communicate with multiple levels of leadership Set WIP goals for team (as necessary) and tracks progress
  • Provide team critical feedback, coaching and coordinate re-training where developmental challenges have been identified Support departmental goals of maintaining process controls, including CMS guidance; as well as internal and external audits
  • Assist in the creation of standard operating procedures in accordance with regulatory requirements

#meddresolution



Required Qualifications:


  • 3+ years of related experience in management/supervising
  • 1+ years of experience with computer programs, specifically Microsoft Excel, Word, Outlook, Access






Preferred Qualifications:


  • Knowledge of CMS and Caremark systems and platforms
  • Knowledge of Medicare Part D regulations PBM experience
  • Customer service and GRV handling experience
  • Effective team player, reliable, good coaching skills, problem solver; customer focused
  • Able to discern behavioral trends and outcomes
  • Well organized with the ability to effectively prioritize work
  • Attention to detail Ability to think outside-the-box in search of solutions
  • Flexible in adapting to change S Skilled in identifying and solving issues to conclusion
  • Ability to work effectively cross-functionally
  • Excellent written and oral communication
  • Demonstrate ability to document and present concepts in a clear and concise manner






Education:


  • Verifiable GED or High School Diploma is required
  • Bachelor’s Degree is strongly preferred


Business Overview:
CVS Health, through our unmatched breadth of service offerings, is transforming the delivery of health care services in the U.S. We are an innovative, fast-growing company guided by values that focus on teamwork, integrity and respect for our colleagues and customers. What are we looking for in our colleagues? We seek fresh ideas, new perspectives, a diversity of experiences, and a dedication to service that will help us better meet the needs of the many people and businesses that rely on us each day. As the nation’s largest pharmacy health care provider, we offer a wide range of exciting and fulfilling career opportunities across our three business units – MinuteClinic, pharmacy benefit management (PBM) and retail pharmacy. Our energetic and service-oriented colleagues work hard every day to make a positive difference in the lives of our customers.

CVS Health is an equal opportunity employer. We do not discriminate in hiring or employment against any individual on the basis of race, ethnicity, ancestry, color, religion, sex/gender (including pregnancy), national origin, sexual orientation, gender identity or expression, physical or mental disability, medical condition, age, veteran status, military status, marital status, genetic information, citizenship status, unemployment status, political affiliation, or on any other basis or characteristic prohibited by applicable federal, state or local law. CVS Health will consider qualified job candidates with criminal histories in a manner consistent with federal, state and local laws. CVS Health will not discharge or in any other manner discriminate against any Colleague or applicant for employment because such Colleague or applicant has inquired about, discussed, or disclosed the compensation of the Colleague or applicant or another Colleague or applicant. Furthermore, we comply with the laws and regulations set forth in the following EEO is the Law Poster:

EEO IS THE LAW
and

EEO IS THE LAW SUPPLEMENT

Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. If you require assistance to apply for this job, please contact us by clicking

AA EEO CVS Health

For inquiries related to the application process or technical issues please contact the Kenexa Helpdesk at 1-855-338-5609. For technical issues with the Virtual Job Tryout assessment, contact the Shaker Help Desk at 1-877-987-5352. Please note that we only accept resumes via our corporate website: https://jobs.cvshealth.com/

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