Senior Manager, Govt Services Adjudication

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Position Summary

This team directly impacts the lives of our pharmacy customers by creating systems that process prescriptions. The systems we work with process over 10 million scripts a day and is business critical. You can work knowing you are helping many people each day.

The Senior Software Manager position reports to an executive director and exists to develop and implement operational strategies aligned with the organization's goals and objectives. You will lead process improvement initiatives, innovation and drive continuous improvement efforts across the organization. You will also support the Org with managing deliverables related to ad hoc internal team management and senior leadership updates, participate in annual budgeting, capital processes and quality improvement activities for the organization.

What you will do:

Operations

• Develop and implement strategic plans to enhance operational effectiveness and efficiency.

• Work with the leaders to identify and focus on critical weekly and monthly priorities.

• Analyze existing processes and identify areas for improvement, cost reduction, and increased productivity.

• Plan and facilitate local meetings, staff development trainings and quarterly reflections.

• Influence with recommendations and solutions to drive operational change to achieve goals.

• Manage the development of quality standards, operating policies, and procedures and directs implementation of approved changes.

• Be accountable for maintaining the appropriate metrics and risk information to drive continuous improvement of the Programs.

• Develop and maintain governance that keeps all of Org components aligned, current, relevant, actionable and auditable.

Innovation

• Develop and implement a strategic innovation product that aligns with the organization's goals and automation, ensuring the team is focused on delivering cutting-edge solutions.

• Lead, mentor, and inspire a team of developers, fostering a culture of creativity and collaboration.

• Encourage and facilitate innovative thinking within the team, exploring new technologies, methodologies, and best practices to enhance product offerings and operational efficiency.

• Encourage exploration of new technologies and methodologies to enhance product offerings and operational efficiency.

Finance

• Lead planning and financial/budgeting process

• Work cross-functionally and aligns planning and budget to functional and org priorities.

Security

• Collaborate cross-functionally with IT, business and security stakeholders to align security & Compliance initiatives with organizational goals.

• Monitor and analyze security trends and emerging threats, proactively implementing measures to mitigate risks and enhance resilience.

• Collaborate with senior leaders to deliver robust resiliency strategies.

Training

• Develop comprehensive training programs sought to enhance employee understanding of various process improvement methodologies and tools.

• Collaborate with SMEs to identify learning needs and design impactful curricula.

• Implement learning technologies to enhance the effectiveness of training initiatives.

Colleague Engagement

• Proactively identify opportunities to enhance colleague experience, develop communication strategies around organizational priorities and changes

• Advise, guide and support senior leaders and managers on opportunities for productivity and organizational performance; recommend and implement process improvements to enhance engagement and compliance.

Metrics/Goals

• Drive performance management tied to key metrics/KPIs/business drivers that provide a forward-looking view into trends requiring management decisions and actions.

• Monitor key performance indicators (KPIs) and metrics to track progress to goals and make data-driven decisions.

• Establish performa