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
The Senior Manager, Project Management (Individual Contributor) within CSRA is responsible for leading the execution of complex, cross-functional initiatives that support Medicaid operations and organizational priorities. Operating as a senior individual contributor, this role manages projects end-to-end, ensuring effective planning, coordination, execution, and delivery while maintaining alignment with business objectives, regulatory requirements, and operational goals.
This position partners closely with CSRA leadership, Service Operations, IT, and key stakeholders to drive project outcomes, manage dependencies, and mitigate risks. The Senior Manager applies structured project management discipline to ensure timelines, scope, and quality expectations are achieved, while proactively identifying opportunities to streamline processes and improve efficiency.
With a strong understanding of CSRA functions—including configuration builds, benefit and fee schedule updates, prior authorizations, and system enhancements—the Senior Manager translates business needs into actionable project plans and supports the delivery of scalable, sustainable solutions. The role is also responsible for providing clear, concise status updates, highlighting risks and decisions, and communicating effectively with both operational teams and leadership.
Success in this role requires strong organizational and analytical skills, the ability to navigate a matrixed environment, and a proactive, solutions-oriented mindset. The Senior Manager plays a key role in advancing project execution, supporting operational performance, and contributing to the ongoing evolution of CSRA as a high-performing Center of Excellence.
We support a hybrid work environment. If selected and you live near a suitable work location, you may be expected to comply with the hybrid work policy. Under the policy, all hires for in-scope populations should be placed into a hybrid or office-based location, working onsite three days a week.
Required Qualifications
- Advanced experience in project management leading complex, cross-functional initiatives within healthcare, Medicaid, or payer operations
- Deep knowledge of CSRA functions, including configuration builds, benefits, fee schedules, prior authorization, and system enhancements (e.g., QNXT or similar platforms)
5-7 years work experience
Adept at problem solving and decision making skills
Adept at collaboration and teamwork
Adept at growth mindset (agility and developing yourself and others) skills
Adept at execution and delivery (planning, delivering, and supporting) skills
Preferred Qualifications
- Proven ability to manage multiple concurrent projects with competing priorities in a fast-paced, matrixed environment
- Demonstrated success in driving process improvements, reducing rework, and implementing scalable, sustainable solutions
- Strong analytical and problem-solving skills, with the ability to translate data into actionable insights and decisions
- Experience conducting root cause analysis (e.g., 5 Whys) and leading corrective action planning
- Exceptional stakeholder management and influence skills, with the ability to align cross-functional partners without direct authority
- Advanced risk identification and mitigation capabilities, including managing dependencies and removing project roadblocks
- Strong executive communication skills, including the ability to synthesize complex information into clear, concise updates and recommendations
- Experience supporting or leading regulatory, state readiness, or implementation efforts within Medicaid lines of business
- Ability to navigate ambiguity and drive outcomes, demonstrating a proactive, solutions-oriented mindset
- Experience partnering with IT, operations, and business teams to deliver system and process changes
Education
Bachelor's degree preferred/specialized training/relevant professional qualification.
Pay Range
The typical pay range for this role is:
$82,940.00 - $182,549.00
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
- Advanced experience in project management leading complex, cross-functional initiatives within healthcare, Medicaid, or payer operations
- Deep knowledge of CSRA functions including configuration builds, benefits, fee schedules, prior authorization, and system enhancements (e.g., QNXT or similar platforms)
- 5-7 years work experience
- Adept at problem solving and decision making skills
- Adept at collaboration and teamwork
- Adept at growth mindset (agility and developing yourself and others) skills
- Adept at execution and delivery (planning, delivering, and supporting) skills
- Proven ability to manage multiple concurrent projects with competing priorities in a fast-paced, matrixed environment
- Demonstrated success in driving process improvements, reducing rework, and implementing scalable, sustainable solutions
- Strong analytical and problem-solving skills with ability to translate data into actionable insights
- Experience conducting root cause analysis (e.g., 5 Whys) and leading corrective action planning
- Exceptional stakeholder management and influence skills, aligning cross-functional partners without direct authority
- Advanced risk identification and mitigation capabilities, including managing dependencies and removing project roadblocks
- Strong executive communication skills, synthesizing complex information into clear, concise updates and recommendations
- Experience supporting or leading regulatory, state readiness, or implementation efforts within Medicaid lines of business
- Ability to navigate ambiguity and drive outcomes, demonstrating a proactive, solutions-oriented mindset
- Experience partnering with IT, operations, and business teams to deliver system and process changes
- 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.
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