CVS Health Clinical Client Operations Manager in Irving, Texas
The Aetna GMF Manager position is responsible for overseeing the day-to-day operations of the Aetna GMF team. The leader is responsible for the accurate set up of formulary and drug lists in RxCLAIM, meeting the client intent based on the request and documentation provided. The Manager collaborates with the Benefits Leadership, Account Managers and BRM’s. Responsibilities of the Manager include, but are
not limited to,
Manages professional employees growth and development
Oversees the maintenance of Aetna Formulary and drug lists in adjudication system
Leads the team to identify and resolve challenges by analyzing information and determining the appropriate solutions
Manage and develop a team dedicated to supporting Aetna GMF drug lists and formulary including complex data, identifying root causes and assisting with driving to practical and creative solutions. Monitor Turn around Times and PG data Foster teamwork and a supportive departmental culture with an emphasis on ensuring exceptional client service.
5+ years of demonstrated leadership within a clinical, healthcare operations, or similar industry.
5+ years of client relationship management experience with external and internal clients.
- RxClaims Experience
Bachelor's degree is required; equivalent work experience may substitute.
CVS Health, through our unmatched breadth of service offerings, is transforming the delivery of health care services in the U.S. We are an innovative, fast-growing company guided by values that focus on teamwork, integrity and respect for our colleagues and customers. What are we looking for in our colleagues? We seek fresh ideas, new perspectives, a diversity of experiences, and a dedication to service that will help us better meet the needs of the many people and businesses that rely on us each day. As the nation’s largest pharmacy health care provider, we offer a wide range of exciting and fulfilling career opportunities across our three business units – MinuteClinic, pharmacy benefit management (PBM) and retail pharmacy. Our energetic and service-oriented colleagues work hard every day to make a positive difference in the lives of our customers.
CVS Health is an equal opportunity employer. We do not discriminate in hiring or employment against any individual on the basis of race, ethnicity, ancestry, color, religion, sex/gender (including pregnancy), national origin, sexual orientation, gender identity or expression, physical or mental disability, medical condition, age, veteran status, military status, marital status, genetic information, citizenship status, unemployment status, political affiliation, or on any other basis or characteristic prohibited by applicable federal, state or local law. CVS Health will consider qualified job candidates with criminal histories in a manner consistent with federal, state and local laws. CVS Health will not discharge or in any other manner discriminate against any Colleague or applicant for employment because such Colleague or applicant has inquired about, discussed, or disclosed the compensation of the Colleague or applicant or another Colleague or applicant. Furthermore, we comply with the laws and regulations set forth in the following EEO is the Law Poster: EEO IS THE LAW at https://www.dol.gov/ofccp/regs/compliance/posters/pdf/eeopost.pdf and EEO IS THE LAW SUPPLEMENT at https://www.dol.gov/ofccp/regs/compliance/posters/ofccpost.htm
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