Operations Manager

CVS Health

Operations Manager leading Medicare Prior Authorization and Coverage Determinations Department and ensuring operational excellence across teams. Managing performance and development of supervisors, pharmacists, and representatives.

Posted 6/23/2026full-timeRemote • Texas • 🇺🇸 United StatesMid-LevelSenior💰 $60,300 - $132,600 per yearWebsite

About the role

Key responsibilities & impact

Leading and developing supervisors as leaders — coaching them to manage performance, hold accountability, and develop their own teams
Owning team performance outcomes including productivity, quality, attendance, service levels, and CMS-mandated turnaround times across multiple teams
Identifying and addressing systemic performance patterns — not just reacting to individual misses, but inspecting recurring trends and driving sustainable improvement
Partnering on client operations — supporting new and existing client implementations in collaboration with account services and cross-functional partners
Leading workforce and workflow management — ensuring staffing, scheduling, and operational readiness to meet volume demands and financial targets
Maintaining regulatory and audit readiness — ensuring all processes, documentation, and team practices align with Medicare Part D and Part B requirements
Sourcing, interviewing, and hiring top talent in partnership with recruitment and business partners
Leading daily operations and leadership calls — providing clear, executive-ready communication on team status, risks, and action plans
Creating and maintaining standard operating procedures that reflect current work instructions and support consistent, compliant execution
Managing to budget — aligning resources, staffing, and operational decisions to financial expectations
Driving change management and continuous improvement — supporting implementations, process changes, and operational initiatives with a focus on sustainable results

Requirements

What you’ll need

3+ years of experience with healthcare regulatory programs (Medicare, Medicaid, or Dedicated Client), including familiarity with CMS turnaround time requirements and audit standards
3+ years of direct people leadership experience, including managing frontline supervisors or individual contributors
Experience managing in a metric-driven production environment (e.g., service levels, turnaround times, quality scores)

Benefits

Comp & perks

medical, dental, and vision coverage
paid time off
retirement savings options
wellness programs
comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families

ATS Keywords

✓ Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

performance managementworkforce managementworkflow managementbudget managementchange managementcontinuous improvementstandard operating proceduresdata analysisclient implementationstaffing and scheduling

Soft Skills

leadershipcoachingcommunicationaccountabilitycollaborationproblem-solvingorganizational skillsstrategic thinkingteam developmentexecutive communication