We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Position Summary

The Supervisor of Service Operations will maintain oversight of a team of claim processors and all claim related functions for Medicaid Claim Operations. We are seeking a highly motivated individual who will establish a clear vision aligned with company values and team goals. The claim Supervisor works with staff to align daily processing activities to successfully meet Health Plan metrics.

Responsibilities will include:

• Managing a team of claim processors and overseeing daily operations for assigned health plan to achieve state required metrics.

• Manage employee performance and development.

• Identifies risks and barriers and collaborates with business partners to improve processes.

• Coaches and mentors team members, assisting with complex questions and customer interactions.

• Acts as liaison between staff and other areas, communicating workflow results, ideas, and solutions.

• Completes various business reports, including tracking, trending and results.

• Works with the Medicaid leadership team to allocate resources to meet volume and performance standards.

• Builds a cohesive team through collaboration, inclusion, and diverse thinking.

• Ability to work in a fast-paced production environment.

Required Qualifications

• Strong problem-solving, organizational, and time management skills

• Leadership experience

• Project management.

• Inventory management.

• Excellent verbal and written communication.

• Advanced Excel Skills

• QNXT Claim System

• SQL

• Quick Base

Preferred Qualifications

• 2+ Years experience processing claims on the QNXT system

• Ability to navigate the hub, claim policies and procedures

Education

• High School Diploma or equivalent

We support a hybrid work environment. If selected and you live near a suitable work location, you may be expected to comply with the hybrid work policy. Under the policy, all hires for in-scope populations should be placed into a hybrid or office-based location, working onsite three days a week.
 
Aetna Service Operations office/hub locations will be discussed with the selected candidate.

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$43,888.00 - $85,068.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.  The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.  This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. 
 

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 09/29/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.