About the role
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.
Position Summary
The Supervisor of Service Operations provides leadership and operational oversight for a team of claim processors supporting Medicaid Claims Operations. This role is responsible for driving performance against health plan and state-required metrics while fostering a high-performing, engaged team. The ideal candidate brings strong operational leadership, a continuous improvement mindset, and the ability to translate business priorities into daily execution.
Key Responsibilities
- Lead and develop a team of claim processors, ensuring daily operations align to established performance, quality, and compliance standards
- Drive execution against health plan and state-required metrics, including inventory management, turnaround times, and accuracy
- Coach, mentor, and develop team members to enhance performance, capability, and engagement
- Identify operational risks, barriers, and process gaps; partner cross-functionally to implement sustainable solutions
- Serve as a liaison between frontline staff and business partners, effectively communicating priorities, results, and process changes
- Monitor, analyze, and report on performance trends to inform decision-making and continuous improvement efforts
- Collaborate with Medicaid leadership to optimize resource allocation and manage volume fluctuations
- Foster an inclusive, collaborative team culture that promotes accountability, innovation, and results
Required Qualifications
- 1-2 years proven leadership experience managing teams in a production-based or operational environment
- Strong analytical and problem-solving skills, with experience in performance management and reporting
- Experience with inventory and workflow management in a high-volume setting
- Excellent communication skills, with the ability to influence and partner across functions
- Advanced proficiency in Excel (data analysis, reporting, and trending)
Preferred Qualifications
- Medicaid managed care experience or knowledge of state regulatory requirements
- Experience leading process improvement or automation initiatives
- Experience with QNXT claims systems
- Working knowledge of SQL
- Demonstrated ability to drive measurable performance outcomes in claims operations
Education
High School diploma, G.E.D. or equivalent experience
Anticipated Weekly Hours
40Time Type
Full timePay Range
The typical pay range for this role is:
$43,888.00 - $85,068.00This 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.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
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.
Additional details about available benefits are provided during the application process and on Benefits Moments.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Aplyr's read
CVS Health is a healthcare giant blending retail pharmacy with insurance services, ideal for those interested in diverse healthcare roles and innovation.
What's promising
- •CVS Health's integration of pharmacy and insurance offers diverse career paths.
- •Strong focus on healthcare innovation with initiatives like HealthHUB locations.
- •Extensive national presence provides job stability and opportunities for relocation.
What to watch
- •Recent layoffs in certain divisions raise concerns about job security.
- •High-pressure retail environment may lead to employee burnout.
- •Complex organizational structure can slow decision-making processes.
Why CVS Health
- •CVS Health's acquisition of Aetna uniquely positions it in both retail and insurance sectors.
- •HealthHUB stores offer a distinctive model combining retail and healthcare services.
- •CVS Caremark provides a robust platform for pharmacy benefits management.
Aplyr’s read is generated by AI from public sources. Was it useful?
About CVS Health
CVS Health is a healthcare company that provides a range of services including pharmacy benefits management, retail pharmacy, and health insurance services.
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