Manager - Production Support Services

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Position Summary:
This Manager role is a member of the Medicare/IFP NextGen Production Support Team that manages production processes, focusing on Capitation payment processing.  Responsibilities will also include additional support of Claim Payment, Provider Egress, Financial/Analytical Reporting, as well as broader support of HealthRulesPayer. This individual will interact with business partners, delivery, infrastructure, and software vendor partners to maintain concierge level support.  They must have the ability to work across teams and applications to lead efforts to monitor/manage processes, as well as troubleshoot and resolve production issues and suggest process improvements and enhancements.

Required Qualifications:

• 5+ years of business analysis experience or equivalent technology experience
• 3+ years of experience working with cross-functional teams to monitor processes and resolve issues

Preferred Qualifications:

• Production support and/or Business Analyst experience in Healthcare Industry, preferably IFP and/or Medicare
• Understanding of delivery process via SAFE/AGILE methodologies
• Possess business acumen including understanding of business flows from enrollment to claims processing through to downstream workflows
• Basic knowledge of SQL

Additional Responsibilities: 

• Collaborate with numerous applications teams to monitor systems, applications, processes to meet the availability goals and to ensure highest levels of customer satisfaction
• Work with multiple teams to coordinating issue resolution to ensure problems are worked and tracked timely
• Required to be on call support 24x7 as needed on a rotation basis
• Participate in infrastructure maintenance and application releases
• Document and maintain system support documentation
• Adhere to all established methodologies, standards, and guidelines
• Responsible for various aspects of event, incident, problem, and change management
• Maintain and monitor daily / weekly processes and programs in production environment

The ideal candidate for this role will have:

• Ability to manage multiple tasks with excellent attention to detail
• Ability to work across boundaries without alienating others, while bringing out the best in peers to be successful
• Strong verbal and written communication skills, internally (within team or department) and externally to all business partners and software vendor partners

 
Education:

• Bachelor’s degree or, equivalent experience (HS diploma + 4 years relevant experience)

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$60,300.00 - $132,600.00

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. 
 

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 our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.

• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.

• Benefit solutions t