Program Management

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

*APPLICANTS CAN LIVE ANYWHERE IN THE US BUT WILL BE REQUIRED TO WORK EST HOURS**

Position Summary

This position would be on the Business Side of Clinical Platform Solutions Team. The person would be responsible for

• Oversight and guide the team on Clinical Platform and surrounding eco-systems that support our Clinical Staff and their workflows, including Care Management, Utilization Management, & Quality Management.
• Detailed understanding of the entire clinical eco-system that support our Clinical Staff and their work including Delegation, Ingestion, Claims & Appeals surrounding Care Management, Utilization Management, & Quality Management.
• Responsible for understanding complete Initiatives/Problem statements and also cohesively solve the problem in the best and strategic approach.
• Identifies project stakeholders, establishes effective communication channels, and manages their expectations.
• Ensures the translation of high-level business needs/used cases/workflows into detailed requirements/US.
• Co-ordinates multiple projects across multiple teams ensuring continuity across the projects and eliminating stovepipe solutions.  Understands business strategy and supports the timely implementation.
• Works with Product Owners to ensure complete traceability of all delivery items that meets objectives for projects and programs.

Required Qualifications

• 8-10 years' work experience in Clinical or claims or healthcare domain
• Adept at execution and delivery (planning, delivering, and supporting) skills
• Adept at understanding business process and pain points
• Adept at collaboration and teamwork
• Mastery of business problem solving and decision-making skills
• Mastery of growth mindset (agility and developing yourself and others) skills
• Exceptional Knowledge of Business Rules Management Systems and its usage
• Exceptional analytical skills & deal with shifting priorities & vigor to understand the true problem.

Preferred Qualifications

• Experience working in Agile Methodology & HealthCare Domain

Education

• Bachelor's degree or equivalent experience.

Pay Range

The typical pay range for this role is:

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.  This position also includes an award target in the company's equity award program. 
 

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.

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Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.