Senior Program Manager
The Voleon GroupSalary not specified
Full Time
Senior (5 to 8 years)
Not SpecifiedCompensation
Senior (5 to 8 years), Expert & Leadership (9+ years)Experience Level
Full TimeJob Type
UnknownVisa
Healthcare, Health SolutionsIndustries
Requirements
Candidates must have 8-10 years of work experience in the clinical, claims, or healthcare domain. Required skills include adeptness at execution and delivery, understanding business processes and pain points, collaboration and teamwork, mastery of business problem-solving and decision-making, and a growth mindset. Exceptional knowledge of Business Rules Management Systems, strong analytical skills, and the ability to handle shifting priorities are also necessary. A Bachelor's degree or equivalent experience is required. Experience working in Agile Methodology and the Healthcare Domain is preferred.
Responsibilities
The Senior Manager of Program Management will provide oversight and guidance on clinical platforms and their supporting ecosystems, including Care Management, Utilization Management, and Quality Management. This role involves a detailed understanding of the entire clinical ecosystem, identifying project stakeholders, establishing communication channels, and managing expectations. Responsibilities include translating business needs into detailed requirements, coordinating multiple projects across teams to ensure continuity, and understanding business strategy for timely implementation. The individual will also work with Product Owners to ensure traceability of delivery items that meet project and program objectives.
Skills
Program Management
Clinical Platform
Care Management
Utilization Management
Quality Management
Delegation
Claims
Appeals
Business Strategy
Requirements Gathering
Stakeholder Management
Project Coordination
Healthcare Domain
CVS Health
Comprehensive pharmacy and healthcare services
About CVS Health
CVS Health operates a large network of retail pharmacies and walk-in medical clinics across the United States, providing a variety of health-related products and services. Their offerings include prescription medications, over-the-counter health products, and beauty items, as well as pharmacy benefits management and specialty pharmacy services. CVS Health's integrated business model allows them to serve individual consumers, businesses, and communities effectively, with a focus on improving health outcomes and reducing healthcare costs. Unlike many competitors, CVS Health combines pharmacy services with medical care, making it easier for patients to access quality healthcare. The company's goal is to enhance access to healthcare and support individuals in achieving better health.
Woonsocket, Rhode IslandHeadquarters
1963Year Founded
DEBTCompany Stage
Healthcare, Consumer GoodsIndustries
10,001+Employees
Benefits
Health Insurance
Dental Insurance
Vision Insurance
Life Insurance
Disability Insurance
401(k) Retirement Plan
Company Equity
Wellness Program
Professional Development Budget
Paid Vacation
Paid Holidays
Risks
Legal challenges related to opioid prescriptions could harm CVS's reputation and finances.
The DOJ's intervention in a whistleblower lawsuit may increase legal costs for CVS.
The Horizon Organic Milk recall exposes potential vulnerabilities in CVS's supply chain.
Differentiation
CVS Health operates over 9,600 retail pharmacies and 1,100 walk-in clinics nationwide.
The company integrates pharmacy benefits management with specialty pharmacy services for comprehensive care.
CVS Health offers tailored medication plans through personalized medicine and pharmacogenomics.
Upsides
Expansion of telehealth services allows CVS to reach more patients remotely.
Increased consumer interest in wellness boosts demand for CVS's health-related products.
The trend towards value-based care aligns with CVS's integrated healthcare approach.
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