CVS Health

Compensation

Full Description

Description: • Oversight and guide the team on Clinical Platform and surrounding eco-systems that support our Clinical Staff and their workflows, including Care Management, Utilization Management, & Quality Management • Detailed understanding of the entire clinical eco-system that support our Clinical Staff and their work including Delegation, Ingestion, Claims & Appeals surrounding Care Management, Utilization Management, & Quality Management • Responsible for understanding complete Initiatives/Problem statements and also cohesively solve the problem in the best and strategic approach • Identifies project stakeholders, establishes effective communication channels, and manages their expectations • Ensures the translation of high-level business needs/used cases/workflows into detailed requirements/US • Co-ordinates multiple projects across multiple teams ensuring continuity across the projects and eliminating stovepipe solutions • Understands business strategy and supports the timely implementation • Works with Product Owners to ensure complete traceability of all delivery items that meets objectives for projects and programs Requirements: • 8-10 years’ work experience in Clinical or claims or healthcare domain • Adept at execution and delivery (planning, delivering, and supporting) skills • Adept at understanding business process and pain points • Adept at collaboration and teamwork • Mastery of business problem solving and decision-making skills • Mastery of growth mindset (agility and developing yourself and others) skills • Exceptional Knowledge of Business Rules Management Systems and its usage • Exceptional analytical skills & deal with shifting priorities & vigor to understand the true problem • Experience working in Agile Methodology & HealthCare Domain (preferred) • Bachelor's degree or equivalent experience Benefits: • Affordable medical plan options • a 401(k) plan (including matching company contributions) • an employee stock purchase plan • No-cost wellness programs including wellness screenings, tobacco cessation and weight management programs • Confidential counseling and financial coaching • Paid time off • Flexible work schedules • Family leave • Dependent care resources • Colleague assistance programs • Tuition assistance • Retiree medical access