[Remote] Senior Project Manager, Medical Management at CVS Health

Connecticut, United States

Apply Now

Not SpecifiedCompensation

Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

HealthcareIndustries

Requirements

5 years of proven experience leading clinical or medical management projects in a healthcare or managed care environment
Strong analytical skills with proficiency in data analysis, reporting, and visualization tools (e.g., Excel, Power BI, Tableau)
Demonstrated ability to create and interpret process flows, business requirements, and technical documentation
Experience in business analysis, including gathering and translating requirements, stakeholder engagement, and workflow optimization
Familiarity with healthcare regulations, utilization management, case management, and general medical management programs
Excellent organizational skills with a keen attention to detail and ability to manage multiple priorities
Strong communication and interpersonal skills; able to build relationships across clinical, technical, and business teams
Technical acumen to collaborate effectively with IT teams on system implementations, integrations, and enhancements
Proven track record in meeting project milestones and negotiating for resources

Responsibilities

Lead and manage complex, cross-functional clinical and medical management projects from initiation through execution and delivery
Serve as a strategic partner to the Medical Management team, deeply integrating into business operations to drive impactful outcomes
Act as both Project Manager and Business Analyst, analyzing business workflows, policies, and rules to design and implement effective solutions
Function as a Product Owner, translating business needs into actionable requirements and overseeing solution development
Collaborate closely with IT teams to manage technical project components, ensuring alignment between business goals and system capabilities
Develop and maintain detailed project documentation, including project plans, process flows, requirements, and status reports
Responsible for managing the budget and/or financial implications of more complex projects
Utilize data analytics and reporting tools to identify trends, solve problems, and drive continuous process improvement
Communicate complex technical concepts in clear, business-friendly language to stakeholders, including account management and external partners
Ensure projects are delivered on time, within scope, and aligned with strategic objectives
Group facilitation/presentation influencing various internal (these may be cross-functional/segment) and external parties (e.g., vendor management)
Identifies issues that may stall project and addresses them by either resolving the issue or creating an alternative solution
Builds communication plans for implementation to ensure all impacted parties (upstream/downstream) are informed of next steps for completion
Acts as an advocate for change; may require influencing others to see the value in project, including managing interpersonal sensitivities and articulating the strategic view to ensure project alignment

Skills

Project Management

Business Analysis

Product Ownership

Clinical Operations

Medical Management

Data Analytics

Process Flows

Requirements Gathering

Cross-Functional Collaboration

Budget Management

Workflow Analysis

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.

Land your dream remote job 3x faster with AI

Try Jobo Free