CAM Operations & Transformation Lead

CVS Health; Hartford (CT); Presencial; USD 54.000 - 159.000; Tempo integral

Benefícios oferecidos por esta vaga

Bonus eligibility

Comprehensive benefits package

Resumo da vaga

CVS Health is hiring for a Program Manager to support implementation and operational integration across Commercial, Medicare, and Medicaid claims operations. You will coordinate with senior and operational leaders to align priorities, timelines, and resources, and drive cross-functional collaboration with product, technology, and analytics teams.

The role requires 5+ years in healthcare operations, strong facilitation and stakeholder skills, and the ability to manage multiple workstreams in a

Qualificações

• 5+ years of experience in healthcare operations, claims, program management, process improvement, or related functions.
• Demonstrated experience coordinating cross-functional initiatives involving multiple stakeholders.
• Experience supporting implementation, testing, operational integration, or business execution efforts.
• Strong facilitation, communication, and stakeholder management skills.
• Strong organizational, problem-solving, and execution skills.
• Ability to manage multiple concurrent workstreams in a fast-paced environment.
• Proficiency with Microsoft Office Suite and collaboration tools.

Responsabilidades

• Support implementation and operational integration activities across Commercial, Medicare, and Medicaid claims operations.
• Partner with senior leaders and operational leaders to align priorities, timelines, dependencies, and resource needs.
• Coordinate cross-functional collaboration across operations, product, technology, analytics, training, and other business partners to support successful execution.
• Identify and coordinate business SMEs to support discovery, requirements validation, testing, implementation, and rollout activities.
• Facilitate working sessions to gather operational insights, define business needs, validate workflow impacts, and support business decision-making.
• Ensure frontline operational feedback is incorporated into capability enhancements and future roadmap discussions.
• Support consistent processes for intake, prioritization, issue resolution, and business decision-making.
• Support business UAT strategies, plans, and execution activities.
• Coordinate tester participation across lines of business and stakeholder groups.
• Track testing progress, defects, business decisions, and sign-off activities.
• Partner with technology teams to resolve defects, assess operational impact, and support release execution.
• Help ensure business validation is completed before production release.
• Support communication, training, and change activities associated with CAM releases as part of successful implementation.
• Track operational risks, adoption barriers, and improvement opportunities following release.
• Partner with leaders to support sustained utilization, operational integration, and value realization.
• Support governance forums, working groups, and leadership reviews.
• Monitor and track risks, issues, decisions, and action items
• Maintain documentation related to approvals, testing outcomes, business impacts, and deployment activities
• Help ensure implementations align with business, compliance, and operational requirements
• Contribute to governance processes that support scalable, controlled CAM growth

Conhecimentos

Facilitation

Communication

Stakeholder management

Organizational skills

Problem-solving

Execution

Multitasking

Formação

Bachelor’s degree or equivalent work experience preferred

Ferramentas

Microsoft Office Suite

Collaboration tools

Descrição da vaga

CVS Health is hiring for a Program Manager to support implementation and operational integration across Commercial, Medicare, and Medicaid claims operations. You will coordinate with senior and operational leaders to align priorities, timelines, and resources, and drive cross-functional collaboration with product, technology, and analytics teams.

The role requires 5+ years in healthcare operations, strong facilitation and stakeholder skills, and the ability to manage multiple workstreams in a