Senior Manager, Policy & Provider Experience Optimization

University of Minnesota School of Nursing; Northern (KY); Híbrido; USD 68.000 - 183.000; Jornada completa

Descripción de la vacante

CVS Health is seeking a Senior Manager for MPPS Experience Optimization to lead data-driven strategies that improve medical and payment policy effectiveness and provider experience. The role focuses on leveraging claims, coding, reimbursement, and operational data to identify opportunities and drive measurable improvements.

You will provide strategic leadership for optimization programs, partner with analytics and technology teams, and influence senior leaders across a matrixed organization to

Formación

• 5+ years of experience in healthcare policy, optimization, or related healthcare analytics functions.
• Supervisory or formal people-leadership experience required.
• Experience using multiple data sources to identify trends and optimization opportunities.
• Strong knowledge of healthcare reimbursement, coding concepts, and policy.
• Experience leading cross-functional initiatives from analysis to implementation and measurement.

Responsabilidades

• Develop and execute strategies to identify and advance medical and payment policy optimization opportunities.
• Lead data-driven analyses leveraging claims, coding, and provider data to drive improvements.
• Establish governance and decision-making practices for optimization initiatives.
• Partner with analytics and technology teams to create reporting and insights on policy performance.
• Provide leadership and development to team members while promoting data-driven decision-making.

Conocimientos

Leadership

Data-driven decisions

Communication

Stakeholder management

Analytical thinking

Educación

Bachelor's degree in healthcare administration or related field

Healthcare credential (CPC, CCS, RHIT) or equivalent

Descripción del empleo

CVS Health is seeking a Senior Manager for MPPS Experience Optimization to lead data-driven strategies that improve medical and payment policy effectiveness and provider experience. The role focuses on leveraging claims, coding, reimbursement, and operational data to identify opportunities and drive measurable improvements.

You will provide strategic leadership for optimization programs, partner with analytics and technology teams, and influence senior leaders across a matrixed organization to