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Sr. Manager, Product Implementation QA Lead

CVS Health
Work At Home-Pennsylvania, United States, United Statesfull_timeVerifiedPosted 21 Feb 2025
💰 $165,954/yr($75,400/yr$165,954/yr)

About the role

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.

Position Summary
Implementation QA Lead 
*Develop and plan Test process for platforms (MAPS, GPS, HRP), special projects 
*Informatics team utilization 
*Claim testing review 
*Process improvements 
*Develop plans and timelines 
*E2E testing – reflect network, referral 
*Test reports 
*Documentation-Readiness 
*“Customer” support 
*Other assignments as needed to support the HRP claims system setup of Medicare benefits 

Required Qualifications
*4+ years proven track record for project/program management skills in a highly matrixed environment required 
*4+ years Medicare industry experience, specifically *Medicare Advantage product/benefit experience. 
*Mastery excels skills, 
*Knowledge of Medicare Part D and Medicare Advantage programs. 
*Experience identifying high error prevention quality metrics. 
*High sense of quality: keen identifying error(s) with large volumes of data. 
*Experience creating and executing test strategies across multiple business segments. /platforms.  
*A Strategic Thinker 
*Manages the overall delivery of information and transaction products and activities by ensuring the project team uses consistent definitions and methodologies where appropriate. 
*Responsible for managing, directing and planning multiple complex projects. 

Preferred Qualifications

  • Strong Analytical skills. 

  • 6+ years managed care / health insurance industry experience 

  • HRP benefit claims testing 

  • SQL 



Education
Bachelor's Degree 

Pay Range

The typical pay range for this role is:

$75,400.00 - $165,954.00


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. 
 
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

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Company

CVS Health

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