Senior. Project Manager, Provider Enablement

4004 Aetna Medicaid Administrators; Arizona; On-site; USD 67,900 - 182,549; Full time

Benefits offered by this job

Medical, dental, and vision insurance

Paid time off

Retirement savings options

Job summary

CVS Health is seeking a seasoned Project Manager to support Medicaid Provider Engagement initiatives, lead multiple workstreams, and drive end-to-end delivery in a complex healthcare environment.

The role requires 7+ years of combined project management and provider engagement experience, strong analytical abilities, and proven cross-functional leadership. Travel may be required (approx. 15%), with work location eligible from anywhere in the US Mainland.

Qualifications

• 7+ years in project management and provider engagement.
• 3-5 years in standards, measurements, technology, systems and processes, including project consultation.
• Excellent analytical and technical skills; ability to handle multiple assignments.

Responsibilities

• Lead projects and workgroups to impact process, system, function, and/or product.
• Work cross functionally to provide Provider Engagement implementations and support.
• Manage the full lifecycle of Medicaid Provider Engagement projects, including planning, design, deployment, and post deployment activities.
• Oversees projects to support and align the Provider Engagement business unit.
• Ensure business requirements are defined, documented, and interpreted.
• Assess solutions and guide on alternatives when needed.
• Collaborate with internal/external stakeholders across boundaries to resolve issues.
• Travel may be required (approx. 15%).
• Other duties as assigned.

Skills

Project management

Provider engagement

Data analysis

Stakeholder management

Cross-functional collaboration

Education

Bachelor's degree or equivalent experience

Tools

Databases

Job description

Position Summary

Supports the business by taking appropriate actions, strategies and/or alternatives to meet business needs typically tied to a key Aetna Medicaid practice (project management, business process management, implementation, etc.). Typically manages multiple projects and their work streams and/or the most complex projects through to implementation. Has full accountability for all aspects of projects such as onboarding, training, town halls/other meeting deliverables and market specific projects.

Responsibilities

1. Lead projects and workgroups to impact process, system, function, and/or product.

2. Work cross functionally to provide Provider Engagement implementations, production issue resolution and support, and functional expertise workgroups.

3. Manage the entire project lifecycle of Medicaid Provider Engagement projects: includes assessment and interrogation of business needs including product, regulatory/compliance, and policy; planning, design, and development; signoff; deployment, including targeted audience communications; and post deployment activities.

4. Oversees projects to support and/or align the Provider Engagement business unit.

5. Ensures business requirements are accurately defined, documented, and interpreted.

6. Understands implications of proposed solutions or process changes and provides guidance on alternatives where necessary.

7. Collaborates with internal/external constituents, with the ability to work across boundaries to be successful in resolving issues.

8. Travel may be required (approx. 15%).

9. Other duties as assigned.

*This role can reside anywhere within the US Mainland

Required Qualifications

• 7+ years experience of a combination of Project Management and Provider engagement experience.
• 3-5 years of experience related to standards, measurements, technology, systems and processes, including project consultation.
• Excellent analytical and technical skills.
• Demonstrated ability to handle multiple assignments competently, accurately, and efficiently.
• Experience with databases as well as interpretation and manipulation of related data.

Preferred Qualifications

• Project Management Certification.
• Multiple years proven leadership experience setting strategic direction and influencing change that resulted in quantifiable positive outcomes.
• Experience in managing high line of site project delivery and analysis.
• Proven track record of excellent quality results with a strong Provider Engagement background.
• Proven strong leadership skills managing high performance teams.
• Proven track record in time management and meeting project milestones.
• Excellent verbal and written communications skills.
• Strong analytical, organizational skills and attention to detail.

Education

Bachelor Degree or equivalent experience.

Pay Range

The typical pay range for this role is $67,900.00 - $182,549.00. 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. This position also includes an award target in the company’s equity award program.

Great benefits for great people

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.

This full-time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

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