Senior Manager, Payment Integrity Strategy

Hispanic Alliance for Career Enhancement; Olympia (WA); On-site; USD 68,000 - 199,000; Full time

Job summary

CVS Health is seeking a Senior Manager - Business Consulting within the Payment Integrity Center of Excellence. The role partners with vendors and senior leaders to lead strategic initiatives across operations, analytics, and process standardization.

The ideal candidate has deep experience in complex program management, healthcare consulting, and delivery of multi-stakeholder projects in a dynamic environment. A strong track record in driving execution and collaboration is required.

Qualifications

• 5+ years related experience in project/program management, policy (financial analysis, forecasting and/or procurement/sourcing) associated with external Payment Integrity Vendors.
• 5+ years of direct project/vendor management experience; managing medium-to-large-scale, cross-functional projects.
• Experience includes development and management of multiple projects and/or programs, simultaneously.
• Self-starter with the ability to work independently and effectively prioritize multiple deliverables.

Responsibilities

• Leads monthly invoice/payment reconciliation and associated metrics for vendor reimbursement.
• Advocate for change, driving innovative solutions aligned to CVS Health strategy.
• Manage complex projects or programs from ideation to implementation impacting multiple processes and systems.
• Coordinate planning, analysis, and guidance to ensure solutions achieve the expected business benefit.

Skills

Project management

Stakeholder management

Vendor management

Financial analysis

Process improvement

Communication

Change management

Cross-functional collaboration

Presentation skills

Risk management

Education

Bachelor's degree in business or technical

PM Certification preferred

Tools

HRP

QNXT

Medcompass

ACAS

Job description

CVS Health is seeking a Senior Manager - Business Consulting within the Payment Integrity Center of Excellence. The role partners with vendors and senior leaders to lead strategic initiatives across operations, analytics, and process standardization.

The ideal candidate has deep experience in complex program management, healthcare consulting, and delivery of multi-stakeholder projects in a dynamic environment. A strong track record in driving execution and collaboration is required.