Manager Medicare Complaints Operation

Location: Remote

About CVS Health

At CVS Health, we’re dedicated to building a healthier world for every consumer. With a team of over 300,000 passionate colleagues, we provide convenient, compassionate care and innovative health solutions that reach millions across the U.S. Join us and be part of a company committed to making healthcare better and more accessible.

Position Overview

We’re seeking a detail-oriented Manager of Medicare Complaints Operation - Business Insight to lead the management and optimization of complaint processes while ensuring data accuracy and integrity. You will support Medicare complaint operations by analyzing data, managing system access, overseeing corrective actions, and developing tools that help streamline workflows.

What You’ll Do:

• Collaborate with internal and external audit teams to provide compliance data and insights
• Monitor and improve quality protocols for the Online Monitoring Tool (OMT)
• Generate actionable reports for senior leaders and stakeholders
• Manage system access and ensure proper user permissions
• Oversee vendor performance reporting and audit support
• Lead oversight of Corrective Action Plans to maintain compliance and continuous improvement
• Design and maintain QuickBase applications to automate data collection and reporting
• Analyze business data to identify trends and opportunities for improvement
• Facilitate communication across teams and prepare clear presentations
• Drive internal projects from planning through successful completion
• Support process documentation with flowcharts, diagrams, and business requirements
• Engage in team collaboration and contribute ideas for continuous enhancement

Qualifications:

Required:

• Bachelor’s degree or equivalent experience in Business, Healthcare, Data Analytics, or related fields
• 2+ years working with large data sets in data warehouse environments
• 2+ years experience with Medicare Advantage products
• Proficient in QuickBase application development and reporting tools
• Strong skills in Excel, Access, PowerPoint, and Visio
• Experience creating reports and dashboards for senior leadership
• Excellent problem-solving, communication, and critical thinking skills
• Ability to work independently and manage priorities in a fast-paced environment

Preferred:

• 3+ years experience as a Data Analyst or similar role
• 5+ years experience with Medicare Advantage products
• Advanced degree in Business, Finance, Healthcare, or related fields
• Experience modifying QuickBase databases and using reporting applications

Why Join CVS Health?

• Competitive salary plus bonus opportunities
• Comprehensive medical, dental, and vision plans
• 401(k) retirement plan with company match
• Employee stock purchase plan
• Paid time off, flexible schedules, family leave
• Wellness programs, counseling, and financial coaching
• Tuition assistance and professional development
• Remote work flexibility

How to Apply

If you’re interested in this position, please register on our portal and submit your application through the link below:

👉 Register & Apply at TeezJobs.com