Senior COB Project Manager - Health Claims and Ops

CVS Health; Hartford (CT); On-site; USD 68,000 - 199,000; Full time

Benefits offered by this job

Bonus eligibility

Equity awards

Comprehensive benefits

Job summary

CVS Health is seeking a Senior Manager, Project Management in Hartford, CT to lead Coordination of Benefits projects and related initiatives. You will define scope and timelines, manage budgets, and collaborate with Claims, Enrollment, Provider Services, Operations, Technology, Analytics, and Vendor Management to achieve strategic goals.

The role requires 5+ years of leadership in healthcare operations and 7+ years in related functions, with experience in data visualization tools like Power

Qualifications

• 5+ years of leadership experience managing teams, including performance management, coaching, employee development, and workforce planning.
• 7+ years of experience in Payment Integrity, Healthcare Operations, claims administration, Coordination of Benefits, Medicare, Commercial Insurance, or related healthcare functions.
• Experience leading large-scale, cross-functional projects and operational transformation initiatives.
• Strong knowledge of healthcare claims processing, COB regulations, Medicare Secondary Payer guidelines, NAIC rules, and related payment integrity processes.
• Experience developing and implementing business process improvements that reduce operational costs, improve quality, and enhance customer satisfaction.
• Experience working with healthcare technology platforms (ACAS, HRP), reporting tools, and data visualization solutions such as, Power BI, Tableau, Quickbase, or similar applications.

Responsibilities

• Lead and oversee Coordination of Benefits projects and related initiatives across the organization to improve payment accuracy and efficiency.
• Define project scope, objectives, timelines, resource needs, and success measures; ensure delivery on time and within budget.
• Directly manage staff, provide day-to-day leadership, coaching, performance management, and professional development.
• Serve as a liaison between business and operational partners; communicate status, risks, and outcomes to leadership.
• Establish priorities, allocate resources, manage workload, and foster a culture of accountability and continuous improvement.

Skills

Leadership

Project management

Data analytics

Communication

Stakeholder management

Education

Bachelor's degree

Tools

Power BI

Tableau

Quickbase

ACAS

HRP

Job description

CVS Health is seeking a Senior Manager, Project Management in Hartford, CT to lead Coordination of Benefits projects and related initiatives. You will define scope and timelines, manage budgets, and collaborate with Claims, Enrollment, Provider Services, Operations, Technology, Analytics, and Vendor Management to achieve strategic goals.

The role requires 5+ years of leadership in healthcare operations and 7+ years in related functions, with experience in data visualization tools like Power