Sr Mgr,Project Prog Mgt (Ic)

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver.

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 a Senior Manager, you will be part of the Clinical Platform Solutions Interoperability team driving large enterprise business and system initiatives that focus on streamlining access and use of clinical data for our clinical staff. In this role, you will drive system projects and initiatives with emphasis on HEDIS bi-directional data exchange, clinical platform interoperability, technical enablement, and data acquisition, including Electronic Medical Record vendors, Health Information Exchange (HIE), Data Aggregators, and implementations of data ingest and egress pipelines. Furthermore, this role will have an affinity for collaboration, negotiation, and coordination among Information Technology (IT) teams and clinical/non-clinical operations within Utilization Management, Case Management, and Quality Management, driving towards strategic direction and objectives. Having a background in HEDIS as well as affinity towards technical concepts & build makes for an ideal candidate. Ability to work in a Hybrid Model (in office part-time during week) is preferred if reside near a HUB location.

Responsibilities include:

• Supports Business Development team with strong project management skills and technical knowledge of products and systems

• Manages significant product initiatives and cultivates relationships with internal and external constituencies.

• Directs, evaluates, and provides requirements/specifications for use of appropriate business processes and systems to support initiatives.

• Ensure the end state of initiatives and/or business constituent needs meets business objective(s) and that all deliverables and due dates are met

• Influence all partners to support key strategic direction to ensure positive outcomes that deliver on results

• Contribute to setting the strategic direction of the overall HEDIS & clinical platform interoperability roadmap/vision

• Identify gaps in processes or technology and challenges self and others to develop and implement solutions

• Drive change to improve systems/quality/services (for example policies, processes, or systems)

• Ensure effective communication of initiatives status to business partners and senior leadership

• Excellent verbal and written communications skills

• Provides leadership in negotiation and influencing sound business decisions based on data, results and information derived from industry trends, research findings, and Aetna-specific reports and analyses

• Manages projects, people, customer expectations and business priorities to achieve constituent satisfaction.

• Responsible for team commitments to quality and on-time deliverables.

• Participates on work groups/ forums representing HEDIS and Clinical platform interoperability needs.

Required Qualifications

• 5 years or more of managed care / health insurance experience

• Minimum 5 years of experience in Project Management and/or managing projects end to end

• Multiple years proven leadership experience setting strategic direction and influencing change that resulted in quantifiable positive outcomes.

• Strong organization skills and excellent verbal/written communications skills

• At least 2 years of Healthcare Effectiveness Data and Information Set (HEDIS) experience

• At least 1 year of experience utilizing Scaled Agile Framework (SAFe) methodology

• At least 1 year working with Health Information Technologies, EMR vendors (i.e., FHIR), cloud technology

• At least 1 year working in data analysis (SQL, Tableau etc.)

• Proven track record managing complex projects and or programs

Preferred Qualifications

• Advanced understanding of Health Information Exchanges (HIE's) and Electronic Health Records (EHRs)
• In depth knowledge of Healthcare Effectiveness Data and Information Set (HEDIS) and National Committee for Quality Assurance (NCQA)
• 3 - 5 years working with Health Information Technologies (i.e., FHIR) cloud technology

Education

BS/BA or equivalent experience and 5 years of experience related to standards & measurements, technology, systems, and processes, including project consultation preferred

Pay Range

The typical pay range for this role is:

$79,200.00 - $174,200.00

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: 04/30/2024

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 ColleagueRelations@CVSHealth.com 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.