Associate Mgr Plan Sponsor Support

Job DescriptionAs a Manager your responsibility includes but is not limited to developing and leading staff. Participation with ownership around developing and/or approving business processes. Manage and maintain relationship with our Customers. Expertise surrounding CMS Guidance. ∙ Manage Enrollment Staff Performance, Training, Attendance, ∙ Attend Group Customer discussion ∙ Participate/contribute to development of business process ∙ Participate/contribute to requirements around system improvements ∙ Support management of Performance Guarantees ∙ Support management of both MA and PDP work queues (AHAP, GEPA, GPS, PCP, MedHok, ASD Workbaskets) ∙ Missing Information ∙ Letter production ∙ Manage Vendor Relationship- Alight and Bswift ∙ Approve Category 3 CMS appeals ∙ ETrack review and updates ∙ Network Expansion ∙ Research weekly CTM's and attend call to discuss opportunities ∙ Manage Reporting Archer, Monthly Plan Changes, Yearly PCC Fallout, Annual Enrollment ∙ SLR reports, appeals, fallout ∙ MP Daily Dashboard Details Report- 4x daily ∙ Group Exceptions ∙ NCOA and Return Mail Attend Daily Operational Management Calls (WFM) Daily tracking and monitoring of all Operational work queues and reports to ensure TAT are metPay RangeThe typical pay range for this role is:Minimum: 43,700Maximum: 97,400Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will take into account a wide range of factors, including location.Required Qualifications- 2 + years of prior intermediate experience using Microsoft Excel, and basic-to-intermediate experience using core Microsoft Office products, including Word and Outlook- 2 + years professional communication experience in verbal and written form- 1 + years of experience analyzing data/reports- 1 + years of Healthcare, or Insurance related experienceCOVID RequirementsCOVID-19 Vaccination RequirementCVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated. You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.Preferred QualificationsGroup Medicare Advantage Problem solving skills. Attention to detail and accuracy Sound understanding of system errors and how to resolve efficiently Strong organization skills Understands the impact of work to other teams and downstream support areasEducationHigh School Diploma or General Equivalent Development (GED)Business OverviewBring your heart to CVS HealthEvery one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver.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. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.

Created: 2025-10-04