Manager, CAM Business Operations Lead

CVS Health; United States; Remote; USD 54,000 - 159,000; Full time

Benefits offered by this job

Medical, dental and vision coverage

Paid time off

Retirement savings options

Wellness programs

Job summary

CVS Health is seeking a Manager, CAM Business Integration & Readiness to lead cross-functional implementation across Commercial, Medicare and Medicaid claims operations. You’ll partner with Operations, Product and Technology to translate strategic priorities into actionable business change and ensure successful rollout.

You’ll coordinate discovery, requirements and testing, manage multiple workstreams in a fast-paced environment, and drive stakeholder alignment while maintaining rigorous

Qualifications

• 5+ years of experience in healthcare operations, claims, program management, or related functions.
• Experience coordinating cross-functional initiatives with multiple stakeholders.
• Experience supporting implementation, testing, operational integration or business execution.
• Strong facilitation, communication and stakeholder management 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 across Commercial, Medicare, and Medicaid claims operations.
• 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.
• Track testing progress, defects, business decisions, and sign-off activities.
• Maintain documentation related to approvals, testing outcomes and deployment activities.

Skills

Cross-functional coordination

Facilitation

Stakeholder management

Communication

Problem solving

Multitasking

Education

Bachelor's degree or equivalent

Tools

Microsoft Office

Collaboration tools

Job description

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 Claims Assist Manager (CAM) team is seeking a Manager, CAM Business Integration & Readiness, to support the implementation and operational integration of CAM capabilities across multiple lines of business. This role serves as a key liaison across Operations, Product, Technology, and business leadership to help ensure new capabilities are translated into business processes, implemented effectively, and sustained within day-to-day operations. This colleague will coordinate cross-functional execution, partner with business subject matter experts, support testing and implementation activities, and help drive alignment on dependencies, timelines, and operational impacts. The role works closely with CAM senior leaders and cross-functional partners across Commercial, Medicare, and Medicaid to help translate strategic priorities into business execution and operational outcomes.

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.

Benefits

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.

Application Window

We anticipate the application window for this opening will close on: 11/30/2026

Other

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.