Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.
This is a highly collaborative position that often requires managing relationship across departments or multiple functional areas.
Supports the Aetna Better Health of Kansas Medicaid Plan by overseeing the performance of subcontractors serving Aetna Medicaid members throughout the state.
Develops and maintains strong relationships with subcontractor leadership teams and managers, ensuring that contractual requirements are met or exceeded.
Researches and provides education on claims adjudication and Kansas State Medicaid policy-alignment.
Ensures appropriate prioritization of State and Plan inquiries to ensure exceptional customer services is provided to our members and providers
Recommends appropriate actions, strategies and/or alternatives to meet business needs.
Responsible for all aspects of project/program management, such as planning, coordination, development, and implementation; including the financial implications while prioritizing work, resources and time.
Certifies the end state of the project and/or business operations meets business objective(s) and that all deliverables and due dates are met.
Interacts directly with government officials and advises of project status.
Reviews claims/encounters and completes projects as appropriate.
Interprets claims guidance and/or policies and is responsible for success implementation.
Supports and assists with additional operational activities, as needed.
3-5 years of relationship management experience
3-5 years of Medicaid experience
3-5 project/program management experience
3-5 years of claims experience
Strong verbal and written communication and interpersonal skills
The typical pay range for this role is:
$67,https://900.00 - $170,https://800.00
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. This position also includes an award target in the company’s equity award program.
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.
For more detailed information on available benefits, please visit https://jobs.CVSHealth.com/benefits