Director of Operations - CVS : Job Details

Oversees and optimizes the day-to-day Medicaid service operational functions of our organization by providing strategic direction, leading cross-functional teams, and ensuring efficient and effective operations across multiple departments including but not limited to System Configuration, Claims, Encounters, Appeals & Grievances, Member Services, Provider Call Center, Network Mgt, Provider Experience, and Provider Data Services. Required Qualifications 10-15 years work experience. Proficient in Healthcare Service Operations including Lifecyle of a claim, adjudication system configuration, and provider data records. Experience in Medicaid Federal government Managed Care Organization contract operations compliance. Oversees and optimizes the operational functions of our organization by providing strategic direction, leading cross-functional teams, and ensuring efficient and effective operations across multiple departments. Develops and implements operational strategies aligned with the o...Operations, Director, Operation, Processing, Data Services, Project Management, Manufacturing, Retail