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, Clinical Health Services is responsible for oversight of healthcare management staff, including the organization and development of high performing teams. In this role, you will: Oversee a non-clinical DE staff Work closely with functional area managers to ensure consistency in clinical interventions supporting our members. Be accountable for meeting the financial, operational and quality objectives of the unit. Oversee the implementation of healthcare management services for assigned functional area. Implement clinical policies & procedures in accordance with applicable regulatory and accreditation standards (e.g. NCQA [ National Committee for Quality Assurance ], URAC [ Utilization Review Accreditation Commission ], state and federal standards, and mandates as applicable). Serve as a content model expert and mentor to the team regarding practice standards, quality of interventions, problem resolution and critical thinking. Ensure implementation and monitoring of best practice approaches and innovations to better address the member's needs across the continuum of care. May act as a liaison with other key business areas. May develop/assist in development and/review new training content. May collaborate/deliver inter and intra-departme
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Role overview
Job description
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
Oak Street Health takes a team-based approach to providing outstanding patient care. In partnership with various Service Operation leaders (Call Center, Third Party Services, Medical Records, Triage Nurse, Pharmacy Technicians, etc.) the Quality Supervisor helps us meet our goal of successfully managing the continuity of care for all of our patients. As a leader in Service Operations, this supervisor oversees a team of Quality and Issue resolution Specialists tasked with reviewing, analyzing, investigating and auditing service standards and processes. The Quality Supervisor will be an expert in Service Operation protocol, standards, and expectations, who is able to resolve escalated issues as well as perform daily supervisory functions such as team monitoring, motivating, recognizing, coaching, and training. In direct collaboration with the Service Operations Quality Manager, the Supervisor participates in staffing, managing, and engaging a team, in addition to supporting Service Operations in delivering timely, high quality care.
Core Responsibilities:
Directly supervises a team of Quality and Issue Resolution specialists, providing daily direction and communication to ensure quality audits and issues are completed in a timely, efficient, and accurate manner.
Ensures all Specialists have the appropriate training, tools, and resources to perform their roles and identifies appropriate solutions when gaps arise.
Meets productivity and quality expectations through the daily direction and delegation of work to Specialists.
Monitors productivity reports, adjusts staff assignments to ensure work is appropriately prioritized.
Responds to emails, questions, errors, and concerns posed by teams and leaders in a manner that is timely, professional, and generates trust.
Provides support to all PXSO and Care Teams as needed for questions or escalated issues.
Creates and maintains a positive work environment by routinely recognizing, engaging, and advocating for their team of Specialists.
Delivers performance reviews, feedback, and coaching as needed to their team in a timely and effective manner
Actively contributes to workflow development and process improvement in support of departmental standards and strategic directives
Continually evaluates processes and procedures. Responsible for suggesting methods to improve daily operations, efficiency, and service to both internal and external customers
Works as a member and/or leader of special or ongoing projects, as assigned
Other duties as assigned.
Required Qualifications
Current Oak Street Health employee in good standing
Desire to lead and motivate a team
Strong problem solving and analytical skills - experience using Microsoft Excel or Google sheets
A flexible, positive attitude even within a rapidly changing environment
Ability to build and maintain positive relationships across all organizational levels
Proficiency in both verbal and written communication
A high level of integrity and alignment with our mission to provide high quality patient care
Technical proficiency with: Google suite, EPIC
Ability to multitask, prioritize, and manage time effectively
Preferred Qualifications
Knowledge of current Service Operation protocols and standards (TPS and Pharmacy Technicians)
Previous experience in Quality Assurance and error root cause analysis
Technical proficiency with NICE CXOne
Education
- High school diploma or equivalent; college degree preferred
Anticipated Weekly Hours
40Time Type
Full timePay Range
The typical pay range for this role is:
$43,888.00 - $93,574.00This 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.
Additional details about available benefits are provided during the application process and on Benefits Moments.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
What they are looking for
Skills & requirements
Qualification
High school diploma or equivalent; college degree preferred
Hiring company
Cvshealth
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