Senior Manager – Project Program Management

Job not on LinkedIn

🔥 1 hour ago

🌽 Illinois – Remote

🌽 Illinois – Remote

💵 $75.4k - $182.5k / year

⏰ Full Time

🟠 Senior

👷‍♀️ Project Manager

👻 Ghost score 0%

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CVS Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1963

🏥 Healthcare

⚕️ Healthcare Insurance

🛒 Retail

Healthcare • Healthcare Insurance • Retail

CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.

📋 Description

• Lead the design, planning, pilot, and delivery of automation and technology solutions from concept through implementation • Partner with stakeholders, product owners, architects, and engineering teams to translate business needs into scalable technical solutions, user stories, acceptance criteria, and delivery plans • Manage and prioritize the product backlog • Facilitate PI planning, sprint planning, backlog refinement, and other Agile ceremonies • Drive collaboration across business, operations, clinical, and technology teams • Manage requirements, dependencies, and business outcomes • Develop and maintain business requirements, process flows, outcome measurements, dashboards, roadmaps, and governance documentation • Monitor progress, mitigate risks, resolve issues, and provide status updates and executive-level reporting • Evaluate solution designs, architecture decisions, and implementation approaches • Communicate with engineers, architects, and technical stakeholders regarding APIs, integrations, rules engines, microservices, EDI, and enterprise technology platforms

🎯 Requirements

• 8+ years of experience leading complex technology delivery, enterprise programs, product initiatives, or large-scale UM Innovation using AI/GenAI technologies • Healthcare payer industry experience required, including expertise in Utilization Management, Prior Authorization, Clinical Operations, Claims, Care Management, or related domains • Demonstrated success partnering with Architecture, Engineering, Product, Operations, and vendor organizations • Strong knowledge of SDLC, Agile and SAFe methodologies, release management, quality assurance, testing, and deployment practices • Experience leading enterprise solutions across hybrid environments, including multi-cloud, SaaS, vendor-hosted, and legacy platforms • Strong understanding of .NET and Java ecosystems, microservices, APIs, and distributed systems • Experience managing technical dependencies, integration strategies, solution roadmaps, and cross-functional delivery teams • Experience with solution design sessions, architecture reviews, technical governance, and implementation planning • Ability to interpret architecture diagrams, data flows, sequence diagrams, and integration patterns • Working knowledge of RESTful APIs, JSON, OpenAPI/Swagger, and API lifecycle management • Experience with API testing and validation tools such as Postman • Understanding of API Gateway technologies, microservices patterns, event-driven architecture, and messaging frameworks • Familiarity with FHIR, HL7, and Documentation Requirements Lookup Service (DTR) • Understanding of healthcare EDI transactions, including 278, 837, 835, and 270/271 • Experience implementing, supporting, or optimizing business rules and decision automation platforms • Strong understanding of decision tables, decision trees, business rule authoring, and automated decision services • Experience with IBM Operational Decision Manager (ODM) or comparable rules engine platforms • Ability to design and support configurable business rules with minimal or no code modifications • Bachelor’s degree in business, Information Technology, Computer Science, Healthcare Administration, or related field; equivalent experience of 6–8 years will be considered • Preferred: SAFe POPM, SAFe Agilist, Agile, PMP, or related certifications • Preferred: experience with healthcare automation, workflow modernization, AI-enabled, or digital transformation initiatives

🏖️ Benefits

• CVS Health bonus, commission or short-term incentive program • Equity award program • Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being

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