Sr. Manager – Digital Product - Payment Accuracy SI Program

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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

As the Sr. Manager – Digital Product - Payment Accuracy SI Program, you will oversee the implementation of the Payment Accuracy Self Insured first pass program, delivering over $5M of incremental revenue annually.  Your work will directly impact the CVS Health Payment Optimization Analytics goals and contribute to achieving revenue & ROI targets for analytics products. To achieve this, you will be responsible for modifying and deploying an overpayment identification analytics program that delivers medical cost savings to self-insured plan sponsors to run in a higher pass order.

Key Duties will be:

• Understand and know the roadmap and overall product strategy, serving as product and market specialist
• Prioritize which new features in the backlog will be added to the product
• Understand the customer needs and be able to interpret customer feedback
• Develop and implement project plans to achieve business goals.
• Proactively support project and/or business by creating project documents, timelines that identify key milestones and additional resources needed on selected project(s).
• Serve as the voice & champion of POA by driving the growth of the analytics program in a methodical & orderly manner with proper business controls and reporting built into the program.
• Identify gaps and recommend enhancements related to new and/or existing products, services and workflows based on broad view of the organization.
• Work directly with vendors and business partners to perform issue resolution.
• Facilitate project teams and present updates to leadership, influencing various internal (cross-functional/segment) and external parties (e.g., vendor management).
• Identify issues that may stall project and addresses them by either direct resolution, creating an alternative solution, or escalation to leadership.
• Track progress and communicate project(s) status on a regular basis to all impacted parties.
• Build communication plans for implementation to ensure all impacted parties (up stream/down stream) are informed of next steps for completion.
• Oversee vendor to ensure minimum service levels are maintained, quality work is performed, and financial targets are achieved.

Required Qualifications

• 3-5 years of product management/ownership experience
• 3-5 years of product management skills such as developing roadmaps, driving deliverables, partnering with key stakeholders, and a strong technical knowledge of products and systems. 
• A strong technical knowledge of health care analytics products and systems
• Proven track record in meeting project milestones and negotiating for resources
• Strong organizational skills
• Experience developing best practice documentation

Preferred Qualifications

• Cross functional matrix partnership experience
• 3+ years of healthcare experience
• Financial acumen
• API experience
• Agile, Lean and/or Six Sigma Project Management skills
• Claims processing experience or End-to-End claims knowledge
• Vendor management experience

Education

• Bachelor's degree or equivalent work experience
• MBA or Master’s degree preferred

Pay Range

The typical pay range for this role is:

$124,372.50 - $247,200.00

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 employe