Job Description
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.
This role is a work from home/remote position and can be based anywhere in the United States. Are you ready to make a difference in someone's life and have a career with purpose? Join the Interoperability team with Aetna, a CVS Health company.
As a Senior Program Manager for Interoperability, you will be responsible for product post-production support of the electronic exchange of clinical data, with a focus on accelerating federal regulations. You will be working in a highly collaborative environment to support product vision with a clear focus on providers, customers, regulatory and end-user needs. You will assist with program strategy, and portfolio and planning initiatives. As part of the Interoperability team, you will work collaboratively with Business, Clinical, Architecture, Compliance, IT, and Legal to deliver technologies and processes that comply with government regulations and advance our strategy for electronic clinical data exchange. The desired candidate will have proven experience as a seasoned project manager, with experience leading in a SAFE Agile environment and strong knowledge of working in a product life cycle in the healthcare industry. A successful candidate is comfortable working independently in an ambiguous, changing environment.
Additional Responsibilities Include: - Leading and Managing Teams: Supervise and guide technical staff, develop project plans, and ensure team accountability.
- Problem Solving and Incident Management: Address production issues, troubleshoot problems, and resolve incidents efficiently.
- Process Improvement: Identify and implement process improvements to enhance production support efficiency and effectiveness.
- Collaboration and Communication: Work effectively with developers, testers, project managers, business subject matter experts and other stakeholders to ensure seamless collaboration and clear communication.
- Performance Monitoring and Reporting: Track key performance indicators (KPIs) and report on production support performance.
- Strategic Planning: Contribute to the development and implementation of program strategy that aligns with business needs.
- Vendor Management: Work with internal and external IT hardware and software vendors to ensure that organization needs are met effectively.
- Leadership and Supervision: Guide and support team members, provide mentorship and development opportunities.
- Documentation and Knowledge Sharing: Document procedures, processes, and solutions to ensure effective knowledge transfer within the team.
- Policy and Procedure Development: Develop and implement production support policies and procedures to ensure consistency and compliance.
Required Qualifications: - 7-10 years or more of healthcare experience
- At least 3 years of Product Owner, Scrum Master, and/or Business Analyst experience
- At least 3 years of experience as a Project Manager and/or Program Manager with a proven track record of managing complex projects
- Executive presentation skills and knowledge of PowerPoint
- Ability to effectively coordinate multiple projects simultaneously with competing priorities
- Demonstrated ability to manage complex data sets
- Demonstrated critical thinking and problem-solving skills
- Excellent oral and written communication skills
Preferred Qualifications: - Medicare, Medicaid or Individual Health Plan experience.
- Experience with HEDIS, revenue integrity business and prior authorization
- Knowledge of federal regulations and compliance requirements for government business
- Process mapping and discovery experience
- Certification in SAFe Agile methodology or Project Management Professional
- Working knowledge of SQL
Education: Bachelor's degree from an accredited college or equivalent work experience is required
Business Overview :
At Aetna, a CVS Health company, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.
We are committed to maintaining a diverse and inclusive workplace. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, gender, gender identity, age, disability or protected veteran status. We proudly support and encourage people with military experience (active, veterans, reservists, and National Guard) as well as military spouses to apply for CVS Health job opportunities.
Pay Range The typical pay range for this role is:
$67,900.00 - $199,144.00
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.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
- Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan .
- No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
- Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit
We anticipate the application window for this opening will close on: 07/31/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
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Job Tags
Hourly pay, Full time, Temporary work, Work experience placement, Local area, Remote work, Flexible hours,