Senior Manager, Provider Documentation Audit

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. At Aetna®, part of CVS Health, we proudly serve more than 26 million medical members through our broad range of health plan offerings. We're committed to delivering a simpler, more meaningful, and personal health care experience to each of them. As a Senior Manager, Provider Documentation Audit , you will play a critical role in supporting our Aetna members and our business by managing a production team that supports network growth initiatives through audit of provider application documentation. You will track and document quality and productivity metrics, providing actionable insights and performance data to support management decisions and training program development. Responsibilities Include Oversee and manage the end-to-end delivery of accurate and complete required documentation for network growth initiatives, including document intake, audit review and approval process and tracking and documentation Drive collaboration cross-functionally to support network growth initiatives. Offer expert guidance on provider application requirements, conducts audits to ensure data integrity, and initiates or supports remediation efforts as needed to maintain high standards of operational excellence. Project management oversight, process improvement and documentation development and maintenance. Develop and maintain key performance indicators for team production, designs and regularly presents timely and transparent performance reporting to leadership with proactive identification of risks and appropriate mitigation plans Identify and mitiga...