Claims Manager – Maryland Medicaid
Clinical Careers Page(1 month ago)
About this role
The Manager of Claims Management at CVS Health leads Medicaid claims operations, ensuring accurate and timely processing in accordance with state and federal regulations. The role focuses on maintaining compliance, improving operational performance, and partnering with cross-functional teams to support organizational objectives.
Required Skills
- Claims Adjudication
- Inventory Management
- Quality Assurance
- Compliance Monitoring
- Team Leadership
- Process Improvement
- Root-Cause Analysis
- Data Analysis
- Excel
- Claims Systems
Qualifications
- Bachelor's Degree
- Lean Six Sigma Certification
About Clinical Careers Page
cvshealth.comCVS Health is America's leading health solutions company, providing integrated services across retail pharmacy (CVS Pharmacy), pharmacy benefits management (CVS Caremark), and health insurance (Aetna). The company offers pharmacy services, health plans, clinical care (including MinuteClinic), and health-and-wellness programs for consumers, employers, and government payers. By combining a large national retail footprint with claims processing, care management, and clinical services, CVS Health aims to coordinate care, lower costs, and improve health outcomes. Businesses and consumers use its solutions for medication management, plan administration, and in-person and virtual care.
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