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Our Heart At Work Behaviors support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.
Position Summary
As the Sr. Manager – Digital Product - Payment Accuracy SI Program, you will oversee the implementation of the Payment Accuracy Self Insured first pass program, delivering over $5M of incremental revenue annually. Your work will directly impact the CVS Health Payment Optimization Analytics goals and contribute to achieving revenue & ROI targets for analytics products. To achieve this, you will be responsible for modifying and deploying an overpayment identification analytics program that delivers medical cost savings to self-insured plan sponsors to run in a higher pass order.
Key Duties will be:
Understand and know the roadmap and overall product strategy, serving as product and market specialist
Prioritize which new features in the backlog will be added to the product
Understand the customer needs and be able to interpret customer feedback
Develop and implement project plans to achieve business goals.
Proactively support project and/or business by creating project documents, timelines that identify key milestones and additional resources needed on selected project(s).
Serve as the voice & champion of POA by driving the growth of the analytics program in a methodical & orderly manner with proper business controls and reporting built into the program.
Identify gaps and recommend enhancements related to new and/or existing products, services and workflows based on broad view of the organization.
Work directly with vendors and business partners to perform issue resolution.
Facilitate project teams and present updates to leadership, influencing various internal (cross-functional/segment) and external parties (e.g., vendor management).
Identify issues that may stall project and addresses them by either direct resolution, creating an alternative solution, or escalation to leadership.
Track progress and communicate project(s) status on a regular basis to all impacted parties.
Build communication plans for implementation to ensure all impacted parties (up stream/down stream) are informed of next steps for completion.
Oversee vendor to ensure minimum service levels are maintained, quality work is performed, and financial targets are achieved.
Required Qualifications
3-5 years of product management/ownership experience
3-5 years of product management skills such as
developing
roadmaps, driving deliverables, partnering with key stakeholders,
and a
strong technical knowledge of products and systems.
A strong technical knowledge of health care analytics products and systems
Proven track record in meeting project milestones and negotiating for resources
Strong organizational skills
Experience developing best practice documentation
Preferred Qualifications
Cross functional matrix partnership experience
3+ years of healthcare experience
Financial acumen
API experience
Agile, Lean and/or Six Sigma Project Management skills
Claims processing experience or End-to-End claims knowledge
Vendor management experience
Education
Bachelor's degree or equivalent work experience
MBA or Master's degree preferred
Pay Range
The typical pay range for this role is:
$124,372.50 - $247,200.00
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. This position also includes an award target in the company's equity award program.
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company's 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off ("PTO") or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.
For more detailed information on available benefits, please visit
jobs.CVSHealth.com/benefits
We anticipate the application window for this opening will close on:
03/19/2024 CVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated.
You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.
CVS Health is committed to recruiting, hiring, developing, advancing, and retaining individuals with disabilities. As such, we strive to provide equal access to the benefits and privileges of employment, including the provision of a reasonable accommodation to perform essential job functions. CVS Health can provide a request for a reasonable accommodation, including a qualified interpreter, written information in other formats, translation or other services through
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If you have a speech or hearing disability, please call 7-1-1 to utilize Telecommunications Relay Services (TRS). We will make every effort to respond to your request within 48 business hours and do everything we can to work towards a solution.
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