Senior Manager, Project Program Management(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 SummaryThe Senior Manager, Project Program Management, residing within the Medicaid Network Performance and Execution Team, will help formulate, lead, and champion strategic initiatives in partnership with senior leaders, internal stakeholders across the enterprise, key external clients and/or business partners. Initiatives may range across operational change, new uses of analytics and technology, process standardization, new market opportunities, enhanced customer service, and more. Length of project(s) may run multiple months or years in duration. This position will require continuous collaboration and consultation with leaders, contributors, and various level stakeholders to ensure the desired business outcome is defined and achieved. The ideal candidate is an initiative-taker, detail-oriented, highly organized, and able to work on multiple tasks simultaneously in a fast-paced and ever-changing environment.This role involves complex, cross-functional stakeholder management and significant exposure to executive leadership. It requires a strong background in complex program management, business or healthcare consulting, or strategic planning and process improvement, with demonstrated ability to work independently, build collaborative relationships, communicate clearly, gain alignment and consensus, build comprehensive execution plans, and meet difficult deliverables in a dynamic environment. It also requires openness to diverse and often ambiguous objectives, with a proven track record of facilitating and influencing teams, with and without authority.The Senior Manager, Project Program Management, supports the business by recommending appropriate actions, strategies and/or alternatives to meet Medicare business needs. The candidate should exhibit the ability to quickly and positively adapt to a changing environment. It is essential that the candidate builds and maintains effective working relationships with peers, management and others within and across organizational lines. The key areas of focus for this role is to drive critical, immediate improvement through the Medicaid Network End to and Provider onboarding process to include supporting Medicaid Implementations, supporting Vendor Relationships, managing and reporting productivity or contingent workers, writing, managing and training on Medicaid Network corporate Policy and Procedures, supporting readiness efforts with Medicaid Implementations. This role will also partner with our Vendors to support Provider Satisfaction Surveys as well as After Hours and Availability Surveys, this will include assisting the local markets and creating an Annual Plan for Improvements.Role includes, but not limited to, the following core responsibilities:

Acts as an advocate for change, influencing others to see the value in project and/or processes; driving innovative and realistic solutions that align to CVS Health’s strategic direction.

Manages the work and deliverables of multiple, complex projects or programs, through ideation to implementation; that impact multiple processes, systems, functions, services, and/or products.

Develop, manage, and monitor detailed project strategic plans to ensure that all deliverables are delivered on time, within scope and budget, and in full compliance with requirements.

Cohesive project facilitation, planning, collaboration, analysis, and guidance, ensuring that solutions achieve the expected business benefit or result.

Active participation in all phases of the project management processes: which may include discovery, assessment, initiation, planning, design, development, testing, execution, deployment, post implementation support etc.

Engaging the appropriate resources needed to define and approve the project scope, requirements, and acceptance of the new functionality or change, prior to the projects’ go live dates.

Ensure business requirements are defined, documented, and interpreted to meet stakeholder interests; and successful delivery of project end-state that meets business objectives and intended outcome(s).

Proactively manage, escalate, and mitigate all issues and risks, engaging required parties, and escalating as needed, to drive to resolution and project deliverables remain on track.

Conduct root cause analysis in support of the business by recommending appropriate actions, strategies and/or alternatives to address business challenges.

Ability to identify changes and/or enhancements needed to work processes to increase efficiency and accuracy, set and achieve short- and long-term goals, drive change and return on investment (ROI) delivery.

Understand implications of proposed solutions or process changes and supply guidance on alternatives where necessary.

Establish and maintain SOPs and supporting documentation for internal and external use, meeting compliance guidelines where applicable.

Proactively evaluate project activities, build contingency plans, execute corrective action, and monitor issue resolution to mitigate risks such as scope and/or variances in desired results.

Track activity progress and build communication plan for implementation to ensure all impacted parties (up-stream/down-stream) are informed of next steps for completion and project status.

Effectively manage team/stakeholder expectations and engagement through clear and frequent communication regarding status updates, critical path progress, and variances from project plan.

Develop and participate in presentation and consultation with business partners on capabilities, performance results and can perform reasonability checks.

Work with advisers from key functional areas to understand potential project impact on the organization, align project work, and execute activities accordingly.

Assists with the management of internal relationships, processes, and performance drives (in some cases relationships may be external).

Other project management duties, assignments, and/or activities, as assigned.

Required Qualifications

7-10 years related experience in project/program management, operations management, business consulting, and/or business analysis

Experience includes development and management of multiple projects and/or programs, simultaneously

Self-starter with the ability to work independently and effectively prioritize multiple deliverables

Demonstrated flexibility to manage conflicting priorities and multiple projects concurrently

Proven track record in meeting deadlines, assigned deliverables, project milestones, and negotiating for resources

Expert problem-solver who is an analytical critical-thinker with ability to execute remediation plans

Ability to influence, collaborate, and communicate effectively with all levels and varying audiences

Leadership abilities that include motivating others, giving and receiving feedback, leading without authority and delegation

Excellent relationship management skills, with experience collaborating across various teams, business segments, functional areas, and/or stakeholder groups

Systems-thinker, willing to challenge the status quo, to generate innovative solutions, and drive change

Experience in crafting business solutions through planning, assessing and implementing change management initiatives

Demonstrated success using verbal and written communication skills to present information

Strong Microsoft Office365 Suite Proficiency

Preferred Qualifications

3+ years of direct project management experience; managing medium-to-large-scale, cross-functional projects

Familiarity with variety of project management methodologies i.e., agile, scrum, waterfall, lean, six sigma etc.

Ability to interact with others in a collaborative and professional manner while fostering teamwork and knowledge sharing to complete key tasks

Experience extracting, manipulating, and analyzing large data sets and then using it to draw conclusions and guide goal setting, objectives and priorities

Strong presentation and communication skills with experience presenting to various business groups

Aptitude to communicate complex findings and conclusions in an easy-to-understand way

Strong organizational, multi-tasking, and follow up skills

Ability to work independently in a fast-paced environment, manage tight deadlines, and competing priorities

Experience with provider network data utilization for directory creation and claims payment

Experience with development and/or application of Business rules and/or group loading rules

Experience with Enterprise Provider Database (EPDB), Smart Front End (SFE), Provider Relationship Management System (PRMS)

Experience with Health Rules Payer (HRP) transaction system and Medicare Claims processing opportunities

Strong understanding of the various Aetna systems and the end-to-end provider experience operating model

Prior healthcare and/or project management experience

Prefer resident in EST and /or CST time zones

EducationBachelor's degree or equivalent professional work experienceMaster’s degree preferred, or equivalent experienceProject Management Certification(s) preferredPay RangeThe typical pay range for this role is:$75,400.00 - $166,000.00This 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: 07/15/2024We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.