Payment Integrity Program Leader – Rework & Escalations

CVS Health; New York (NY); In loco; USD 75.000 - 199.000; Tempo pieno

Descrizione del lavoro

CVS Health is seeking a Senior Manager, Payment Integrity COE Rework & Escalations to lead the intake, tracking, and closure of rework items and escalations. You will establish a reliable operating rhythm and ensure owners, dates, and decisions are clearly documented and managed.

You will coordinate across Payment Integrity, Claims, Clinical, IT, and Legal teams, drive structured root-cause analysis, and produce concise leadership reporting.

Competenze

• Bachelor's degree or equivalent required.
• 7–10 years of cross-functional program management and analytics.
• Experience with healthcare payment integrity or related domains.
• Strong data-driven decision making and reporting.
• Ability to influence without direct authority.

Mansioni

• Oversee centralized portfolio of rework items and escalations.
• Establish intake, triage, and escalation processes.
• Lead cross-functional sessions to clarify issues and decisions.
• Develop dashboards and leadership updates on portfolio health.
• Drive root-cause analysis and corrective actions.
• Govern governance cadence and documentation.

Conoscenze

Program management

Cross-functional coordination

Data analysis

Facilitation

Communication

Influencing

Governance

Formazione

Bachelor's degree or equivalent

Strumenti

Excel

Power BI

Visio

Planner

SharePoint

Descrizione del lavoro

CVS Health is seeking a Senior Manager, Payment Integrity COE Rework & Escalations to lead the intake, tracking, and closure of rework items and escalations. You will establish a reliable operating rhythm and ensure owners, dates, and decisions are clearly documented and managed.

You will coordinate across Payment Integrity, Claims, Clinical, IT, and Legal teams, drive structured root-cause analysis, and produce concise leadership reporting.