Client Services Director RxClaims Coding - Full-time / Part-time

Job Category: Management

Clinical Licensure Required : N/A

Job Type: Full Time Position Summary:

Provide subject matter expertise and strategic support of RxClaim Coding for the Benefit employees within the Employer, Health Plan, and Aetna Client Service Teams

•Establishing and driving compliance of RxClaim coding standards to increase efficiency and quality output

•Manage a team of RxClaim Subject Matter Experts supporting new RxClaim functionality and new product development

•Manage allocation and support of 100 offshore resources supporting RxClaim Benefits during 4Q Welcome Season

•Champion new RxClaim functionality and Benefit tools across the Client Service Teams Required Qualifications:

• 10+ years of progressive experience culminating in a leadership role in a health care benefits services industry or a similar industry.

•Working knowledge of the Microsoft suite of products including Word, Excel and PowerPoint.

•Well-developed management, written & oral communication, and presentation skills.

•Advanced business management skills including: operations, forecasting, finance, accounting, resource/materials management, distribution, QA/QC, statistical analysis, and reporting.

•Demonstrated skills planning, executing, and managing complex initiatives and functions.

•Ability to identify processes, functions, and procedures requiring improvement, then develop and execute appropriate solutions.

•Strong Leadership Competencies in the areas of Inspiring Trust, Open Communication, People Development, Strategic Focus.

•Ability to attract highly skilled people, develop and build a high performance culture.

•Sell: Get to drive and execute strategy; embarking on a whole new level of automation; nice tie with technical development and operational perspective; great visibility within the organization

•Operational Skills: Tracking, continual process improvement, execution, sphere of influence, resourceful across company, ability to engage clients, short reaction time, leadership, collaboration

•Group size: Less than 10 but influencing 400-500

•Supporting new business

•Driving standards and benefits approach Preferred Qualifications:

Experience in healthcare / PBM desired, Clinical knowledge Education:

Bachelor's degree required; equivalent work experience may substitute. Business Overview:

CVS Caremark, 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 Caremark is an equal opportunity employer. We do not discriminate in hiring or employment against any individual on the basis of race, color, gender, national origin, ancestry, religion, physical or mental disability, age, veteran status, sexual orientation, gender identity or expression, marital status, pregnancy, citizenship, or any other factor protected by anti-discrimination laws. Furthermore, we comply with the laws and regulations set forth in the following EEO is the Law Poster: EEO IS THE LAW

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