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CVS Caremark.

Clinical Operations Senior Manager

CVS Caremark. - Irving, TX

Job Description

As the Clinical Operations Senior Manager you will be responsible for leading the day-to-day operations of Clinical Relationship Advisors and Clinical Coders. You will ensure that the clinical programs are set up in compliance with client requests and partner closely with Benefits Leadership, Account Management and the Benefit Relationship Management team to set up and roll out products and programs based on direction from the client. You will also be responsible for:

Leading and developing a highly visible, high-performing team

Reporting on capacity planning and day to day activities using metrics and data from Salesforce

Identifying potential risks to Performance Guarantee agreements, and working to develop innovative solutions

Developing and implementing processes and procedures to create and maintain effective and productive workflows

Your success will be determined by your ability to lead and develop a team dedicated to supporting clinical programs by analyzing complex data, identifying root causes and assisting with driving to practical and creative solutions. You will need to foster teamwork and a supportive departmental culture with an emphasis on ensuring exceptional client service. As the Senior Manager for Clinical Operations, your contributions will have an invaluable impact on CVS Health's position as a leader in the Pharmacy Benefit Management space.

Required Qualifications

5 years of experience in clinical operations, clinical requirements, clinical coding, or similar field within a healthcare/PBM industry

5 years of proven leadership experience, coaching and mentoring high performing teams

Willingness and Ability to travel up to 15%

Preferred Qualifications

PBM Experience

RxClaims experience experience


Bachelor's degree required; equivalent work experience may substitute

Business Overview

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 and EEO IS THE LAW SUPPLEMENT at

Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. If you require assistance to apply for this job, please contact us by clicking EEO AA CVS Health at

CVS Health does not require nor expect that applicants disclose their compensation history during the application, interview, and hiring process.

For inquiries related to the application process or technical issues please contact the Kenexa Helpdesk at 1-855-338-5609. For technical issues with the Virtual Job Tryout assessment, contact the Shaker Help Desk at 1-877-987-5352. Please note that we only accept resumes via our corporate website:

7 days 20 hours ago

CVS Caremark.


Clinical Operations Senior Manager CVS Caremark. - Irving, TX, United States


Location: Irving, TX

Company Profile:
CVS Caremark (NYSE: CVS), headquartered in Woonsocket, RI, is the largest pharmacy health care provider in the United States with integrated offerings across the entire spectrum of pharmacy care. Through our unique suite of assets, we are reinventing pharmacy to offer innovative solutions that help people on their path to better health. We are focused on enhancing access to care, lowering overall health care costs for plan members and payors, and improving health outcomes.