Associate Manager - Quality

About This Role

An Associate Manager of Quality oversees and develops high-performing teams, ensuring consistency in monitoring and reporting activities. This role suits a leader who can build and maintain a solid team through training, coaching, and development, while collaborating to identify trends and recommend solutions within the Appeals team.

Responsibilities

• Oversee Quality staff, including organization and development of high performing teams
• Work closely with functional area managers to ensure consistency in monitoring and reporting activities
• Manage performance and resources for monitoring needs
• Build and maintain a solid team through selecting, training, coaching and developing staff
• Collaborate to build bridges, identify trends and recommend solutions
• Validate effectiveness of the team through scorecards and monitoring
• Facilitate and present at meetings within the Appeals team
• Accommodate team needs with a solutions-based attitude
• Remain approachable, professional, and understanding of the human needs of your team
• Mentor the team regarding processes, problem resolution and critical thinking
• Act as a liaison with other key business areas (may apply)
• Assist in development and facilitating new training (may apply)
• Participate in the hiring process of staff
• Create a positive work space by recognizing team contributions, soliciting input, and assisting as needed

Requirements

• 5+ years Medicare Appeals background
• Microsoft Office experience
• Knowledge of Appeals job aids/workflows
• Strong communication skills - ability to provide and receive feedback
• Excellent time management skills
• Working knowledge of regulatory and accreditation requirements, benefit plan and/or contractual arrangements

Nice to have:

• 2+ years Quality experience
• QuickBase experience
• Training or leadership/management experience
• Knowledge of CMS guidance

Benefits

• CVS Health bonus, commission or short-term incentive program
• Comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families
• Medical, dental, and vision coverage
• Paid time off
• Retirement savings options
• Wellness programs and other resources, based on eligibility

Important Details

• Schedule: 40 hours weekly
• Application deadline: 10/18/2026