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.
Role Summary
The Director of Project Management serves as the PMO Lead for Strategic Initiatives within Grievance & Appeals. This role is responsible for leading complex, cross-functional program governance and execution with key partners across Grievance & Appeals, Utilization Management, Claims, Provider Operations, and other key business functions. The Director drives alignment, accountability, and performance management to deliver sustainable improvements with measurable outcomes.
Key Responsibilities
Program Governance & Execution (70%)
- Lead complex, cross-functional strategic initiatives that support organizational priorities and business objectives.
- Establish and manage program governance frameworks, including operating cadences, decision-making processes, and accountability mechanisms.
- Partner with business and operational leaders to align priorities, resolve cross-functional challenges, and drive achievement of strategic objectives.
- Provide oversight of program execution, ensuring initiatives remain aligned to timelines, objectives, and expected outcomes.
- Monitor program performance, risks, dependencies, and issues, implementing mitigation strategies as needed.
- Influence decision-making and drive accountability in a highly matrixed environment.
- Lead governance forums and leadership reviews to support program progress and strategic alignment.
- Promote consistent application of project and program management best practices.
Performance Management & Reporting (30%)
- Establish performance measures and reporting processes to track progress, outcomes, and value realization.
- Develop executive-level communications, presentations, and updates for leadership audiences.
- Translate complex information into clear insights and actionable recommendations.
- Ensure transparency regarding program status, risks, opportunities, and business impact.
Education & Essential Qualifications
- 10–15+ years of experience in program/project management, healthcare operations, consulting, or a related field; healthcare payer experience preferred.
- Demonstrated success establishing governance frameworks and leading complex, cross-functional programs with multiple concurrent workstreams.
- Strong executive communication and presentation skills, with the ability to translate complex operational data into clear, actionable insights for senior leadership audiences.
- Experience driving organizational alignment and influencing stakeholders across a highly matrixed environment.
- Strong problem-solving, decision-making, and critical thinking skills.
- Demonstrated commitment to continuous learning, innovation, and a growth mindset.
Preferred Qualifications
- Familiarity with healthcare payer operations, including Grievance & Appeals, Utilization Management, Claims, Provider Operations, and root cause analysis methodologies.
- Project Management Professional (PMP) certification.
Education
Bachelor's degree preferred/specialized training/relevant professional qualification.
Pay Range
The typical pay range for this role is:
$100,000.00 - $231,540.00
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.
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 offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
Additional details about available benefits are provided during the application process and on Benefits Moments.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Skills Required
- 10-15+ years of experience in program/project management, healthcare operations, consulting, or a related field.
- Demonstrated success establishing governance frameworks and leading complex, cross-functional programs with multiple concurrent workstreams.
- Strong executive communication and presentation skills; ability to translate complex operational data into clear, actionable insights for senior leadership.
- Experience driving organizational alignment and influencing stakeholders across a highly matrixed environment.
- Strong problem-solving, decision-making, and critical thinking skills.
- Demonstrated commitment to continuous learning, innovation, and a growth mindset.
- Familiarity with healthcare payer operations, including Grievance & Appeals, Utilization Management, Claims, Provider Operations, and root cause analysis methodologies.
- Project Management Professional (PMP) certification.
- Bachelor's degree or specialized training/relevant professional qualification.
What We Do
CVS Health is the leading health solutions company that delivers care in ways no one else can. We reach people in more ways and improve the health of communities across America through our local presence, digital channels and our nearly 300,000 dedicated colleagues – including more than 40,000 physicians, pharmacists, nurses and nurse practitioners. Wherever and whenever people need us, we help them with their health – whether that’s managing chronic diseases, staying compliant with their medications, or accessing affordable health and wellness services in the most convenient ways. We help people navigate the health care system – and their personal health care – by improving access, lowering costs and being a trusted partner for every meaningful moment of health. And we do it all with heart, each and every day.
