Manager, Workers Compensation

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 CVS Health Workers' Compensation team needs a dedicated people leader to drive consistent production, prioritization, and follow-through across the claim portfolio. Reporting to the Director of Claims in Risk Management, this role manages a team of 6 and is accountable for overseeing the third-party administrator (TPA) program, including performance oversight, rapid issue resolution, contract/guideline alignment, and continuous improvement. Key responsibilities

• Manage all aspects of the workers' compensation program, including open claims handled by insurance carriers and third-party administrators
• Oversee TPA program operations and performance (scorecards, regular performance reviews, issue escalation and resolution)
• Manage defense counsel and vendor partners to drive timely claim resolution, reserving discipline, and high-quality claim handling
• Partner with other stake holders to remove barriers, maintain visibility into claim status and trends, to help streamline business improvements, and mitigate damages.
• Review contracts, establish/maintain program guidelines, and direct claims-handling expectations
• Conduct claim reviews and audits; review action plans to ensure appropriate strategy, reserving, and timely next steps
• Prepare high-level reporting on financial exposure and critical claim trends for senior leaders
• Responsible for insurance invoice processing as it relates to claims handled by various carriers. Submit and process North Dakota payroll and insurance premiums.; resolve exceptions and ensure on-time payment controls
• Lead, coach, and evaluate team performance (performance appraisals, development, accountability)
• Responsible for self-insurance renewals and related assessments/bonds in 8 states. Required Qualifications
• 5+ years of workers' compensation claims experience (technical claims knowledge + program oversight).
• 5+ years of prior experience working with a Third Party Administrator.
• 5+ years of advanced computer proficiency, including strong working knowledge of operating systems, databases/reporting tools, and common hardware/software applications used to support claims operations. Preferred Qualifications
• People leadership experience (coaching, delegation, performance management).
• Strong analytical, organizational, and communication skills; able to produce clear senior-leader reporting.
• Demonstrated ability to resolve conflict, handle sensitive issues, and drive business outcomes.

Education Bachelors degree required or equivalent years of related experience. Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $60,300.00 - $145,860.00 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 our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan . No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit https://jobs.cvshealth.com/us/en/benefits We anticipate the application window for this opening will close on: 04/02/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.