Manager, CAM Business Operations Lead

4062 Aetna Resources, LLC; Hartford (CT); On-site; USD 54,000 - 159,000; Full time

Benefits offered by this job

Bonus eligibility

Comprehensive benefits package

Job summary

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

Qualifications

• 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.

Responsibilities

• 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

Skills

Facilitation

Communication

Stakeholder management

Organizational skills

Problem-solving

Execution

Multitasking

Education

Bachelor’s degree or equivalent work experience preferred

Tools

Microsoft Office Suite

Collaboration tools

Job description

Fundamental Components

• 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

Required Qualifications

• 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

Preferred Qualifications

• ACAS experience preferred
• Health claims processing experience within Commercial, Medicare, or Medicaid environments
• Experience supporting automation, AI‑enabled solutions, workflow modernization, or digital transformation initiatives
• Experience coordinating large‑scale UAT and production implementations
• Knowledge of change management and adoption strategies in support of implementation success
• Familiarity with governance, compliance, and operational risk management practices

Education

• Bachelor’s degree or equivalent work experience preferred

Anticipated Weekly Hours

• 40

Time Type

• Full time

Pay Range

The typical pay range for this role is: $54,300.00 - $159,120.00 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.

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. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments. We anticipate the application window for this opening will close on: 11/30/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. Our Work Experience is the combination of everything that's unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people. Our employees are self‑disciplined, hard working, curious, trustworthy, humble, and truthful. They make choices according to what is best for the team, they live for opportunities to collaborate and make a difference, and they make us the #1 Top Workplace in the area.