Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.
Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.
Plans, monitors and manages internal projects from initiation through completion. Secures required resources and uses formal processes and tools to manage resources, budgets, risks and changes. Manages projects to ensure on-time completion according to specifications and within budgeted costs.
What you will do
- Acts as a top-level specialist on project management and develops a comprehensive plan that encompasses objectives, deliverables, and timelines for CMS and State regulatory audits and readiness reviews.
- Ensures alignment on key deliverables and timelines and reinforces organizational standards.
- Applies highly developed knowledge of external audit standards and expectations to guide operational partners through all aspects of an audit, including data production, audit practice sessions, facilitation of audit sessions, delivery of post-audit deliverables, working with operations to mitigate audit risk, and oversight of root cause and corrective action planning.
- Oversight of operational key performance indicators to measure progress and to analyze root cause and corrective action plans when goals are not achieved.
- Creates a continuous improvement environment, looking for ways to enhance delivery processes and outcomes.
- Effectively manages multiple audits and projects and responds to change with adaptability
- Uses indirect management skills to ensure projects remain on track and escalates, as appropriate.
- Ensures implementation of new or revised regulatory requirements.
Required Qualifications
- 7-10 years work experience in healthcare
- Medicare and/or Medicare-Medicaid Integrated Product Experience
- Experience with Medicare Care Management regulatory requirements and audit management
- 3+ years serving as project lead
- Adept at problem solving and decision making
- experience dealing with state or federal regulators
Preferred Qualifications
- Adept at collaboration and teamwork
- Adept at growth mindset (agility and developing yourself and others) skills
- Adept at execution and delivery (planning, delivering, and supporting) skills
- Adept at business intelligence
- Excellent written and verbal communication skills and an ability to work with all levels of the organization
Education
Bachelor's degree preferred but will accept relevant job experience.
Pay Range
The typical pay range for this role is:
$82,940.00 - $182,549.40
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.
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.
For more detailed information on available benefits, please visit Benefits | CVS Health
We anticipate the application window for this opening will close on: 02/23/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
