Project Manager-Medicaid Contracts and Pricing

Hispanic Alliance for Career Enhancement; Springfield (IL); On-site; USD 54,000 - 160,000; Full time

Job summary

An established industry player is seeking a detail-oriented Project Manager to join their Network Platform Solutions team. This role involves overseeing Medicaid contracting projects, enhancing system functionalities, and ensuring compliance with legal standards. The ideal candidate will possess strong problem-solving skills and a collaborative spirit, ready to adapt to changing priorities. This position offers a dynamic work environment where your contributions will significantly impact healthcare solutions. Join us in transforming health care and making a difference in the lives of millions.

Benefits

Affordable medical plan options

401(k) plan with matching contributions

Employee stock purchase plan

Wellness screenings

Tobacco cessation programs

Weight management programs

Confidential counseling

Financial coaching

Tuition assistance

Flexible work schedules

Qualifications

• 3-5 years of Medicaid experience required.
• 2-3 years of contract management and project management experience.

Responsibilities

• Manage Conga Medicaid contracting IT projects.
• Support ECOM releases and system enhancements.

Skills

Medicaid experience

Contract management

Project management

Problem-solving

Analytical skills

Communication skills

Collaboration skills

Adaptability

Education

Bachelor's Degree or equivalent experience

Tools

Microsoft Excel

Microsoft Word

Microsoft Teams

QuickBase

SharePoint

Job description

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Requisition Job Description

Position Summary
We are excited to invite a highly motivated and detail-oriented Project Manager to join our team. The Project Manager will part of the Network Platform Solutions - Contracts & Pricing Team to support Medicaid Contracting IT projects in Conga and to provide support to Network for Conga contracting needs.

Responsibilities Include:

• Support of ECOM releases for Conga
• Assist with ongoing management of Conga system enhancements and fixes
• Ongoing management may include project planning, documentation of requirements, and review of IT design/development, user acceptance testing, system implementation, and performing post-release checkout
• Act as Project Manager/subject matter expert on Conga Medicaid Contracting for all Medicaid Network plans and Duals plans
• Assist in conducting research associated to business system issues and development of workarounds and communications of identified issues
• Collaborate with L&P on development and delivery of training vignettes for Conga CLM
• Review of state-approved templates and regulatory compliance addendum documents to ensure clarity, accuracy, and compliance with legal standards and internal policies
• Maintain reports and dashboards for executive leadership and Medicaid Health Plans
• Support of internal and external audit requests for Conga Medicaid contracting

Required Qualifications

• 3 to 5 years Medicaid experience
• 2 to 3 years contract management and processes
• 2 to 3 years project management experience
• Strong problem-solving and decision-making skills
• Strong analytical skills and attention to detail
• Excellent communication and collaboration skills
• Ability to adapt to changing priorities and work effectively under pressure
• Demonstrated ability to learn new concepts
• Demonstrated ability to successfully deliver assigned projects

Preferred Qualifications

• Familiarity with Conga CLM
• Familiarity with Duals contracting processes
• Demonstrate curiosity when identifying issues and pursuing solutions and providing ideas to improve processes
• Proficiency in Microsoft: Excel, Word, and Teams
• QuickBase and SharePoint user experience

Education
Bachelor's Degree or equivalent experience

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 our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

For more information, visit https://jobs.cvshealth.com/us/en/benefits

We anticipate the application window for this opening will close on: 06/29/2025

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.