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.
Position Summary:
Are you ready to make a meaningful impact and build a career with purpose? Join the Interoperability team at Aetna, a CVS Health company.
As a Senior Program Manager for Interoperability, you will be responsible for the program analytics, data requests, value modeling, and end-to-end life cycle data monitoring. You will also be responsible for product post-production support of the electronic exchange of clinical data, with a focus on supporting our business operations. You will be working in a highly collaborative environment to deliver program analytics that support the product vision with a clear focus on providers, customers, regulatory and end-user needs. You will assist with program strategy, and portfolio and planning initiatives. You will help with program value forecasting, tracking, and actuals. As part of the Interoperability team, you will work collaboratively with Business, Clinical, Architecture, Compliance, IT, and Legal to deliver data requirements that support technologies and processes that comply with government regulations and advance our strategy for electronic clinical data exchange. The desired candidate will have proven experience as a seasoned project manager, with experience using Tableau, spreadsheets, GCP, databases for analytics & reporting. A successful candidate is comfortable working independently in an ambiguous, changing environment.
Additional Responsibilities Include:
- Cross Functional Leadership: Guide technical staff, develop project plans, and ensure team accountability.
- Problem Solving and Incident Management: Address production issues, troubleshoot problems, and resolve incidents efficiently.
- Process Improvement: Identify and implement process improvements to enhance production support efficiency and effectiveness.
- Collaboration and Communication: Work effectively with developers, testers, project managers, business subject matter experts and other stakeholders to ensure seamless collaboration and clear communication.
- Performance Monitoring and Reporting: Track key performance indicators (KPIs) and report on production support performance.
- Strategic Planning: Contribute to the development and implementation of program strategy that aligns with business needs.
- Vendor Management: Work with internal and external IT hardware and software vendors to ensure that organization needs are met effectively.
- Leadership and Supervision: Guide and support team members, provide mentorship and development opportunities.
- Documentation and Knowledge Sharing: Document procedures, processes, and solutions to ensure effective knowledge transfer within the team.
- Policy and Procedure Development: Develop and implement production support policies and procedures to ensure consistency and compliance.
Required Qualifications:
- A minimum of 7 years of relevant work experience in health care, insurance, or related field or completion of General Management Development Program (GMDP) with a combination of relevant experience
- Adept in data analytics. Must be able to function in Tableau, GCP, Excel, QuickBase, and other data bases
- Proven track record of managing complex projects
- Experience Electronic Health Records, and Clinical Data Structure / Data Exchange
- Executive presentation skills and knowledge of PowerPoint
- Ability to effectively coordinate multiple projects simultaneously with competing priorities
- Demonstrated ability to manage complex data sets
- Demonstrated critical thinking and problem-solving skills
- Excellent oral and written communication skills
- Working knowledge of SQL
Preferred Qualifications:
- Ability to query using SQL
- Experience with database, BigQuery
- Medicare, Medicaid or Individual Health Plan experience
- Familiarity with Revenue Integrity and HEDIS/STARS business functions
- Knowledge of federal regulations and compliance requirements for government business
- Process mapping and discovery experience
- Certification in SAFe Agile methodology or Project Management Professional
Education:
Bachelor's degree from an accredited college or equivalent work experience is required
This role is a work from home/remote position and can be based anywhere in the United States
Pay Range
The typical pay range for this role is:
$75,400.00 - $165,954.00
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
- Minimum 7 years relevant experience in health care, insurance, or related field (or completion of GMDP with equivalent experience)
- Proficiency in data analytics tools: Tableau, GCP, Excel, QuickBase, and other databases
- Proven track record managing complex projects
- Experience with Electronic Health Records and Clinical Data Structure / Data Exchange (interoperability)
- Executive presentation skills and knowledge of PowerPoint
- Ability to coordinate multiple projects simultaneously with competing priorities
- Demonstrated ability to manage complex data sets
- Demonstrated critical thinking and problem-solving skills
- Excellent oral and written communication skills
- Working knowledge of SQL
- Bachelor's degree from an accredited college or equivalent work experience
- Ability to query using SQL
- Experience with databases, BigQuery
- Medicare, Medicaid or Individual Health Plan experience
- Familiarity with Revenue Integrity and HEDIS/STARS business functions
- Knowledge of federal regulations and compliance requirements for government business
- Process mapping and discovery experience
- Certification in SAFe Agile methodology or Project Management Professional (PMP)
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.
