Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world.
Position Summary
As a Sr. Manager, Digital Product for Fraud, Waste & Abuse (FWA), you will oversee the maintenance and growth of the FWA program, delivering $75M in impact annually. Your work will directly impact the CVS Health Payment Optimization Analytics goals and contribute to achieving medical cost savings, revenue & ROI targets for analytics products.
Key Duties:
1. Understanding the roadmap and overall product strategy, serving as product and market specialist.
2.
Prioritizing which new features in the backlog will be added to the product.
3. Understanding customer needs and interpreting customer feedback.
4. Developing and implementing project plans to achieve business goals.
5. Creating project documents and timelines that identify key milestones and additional resources needed.
6. Driving the growth of the analytics program with proper business controls and reporting.
7. Identifying gaps and recommending enhancements related to products and workflows.
8. Working directly with vendors and business partners for issue resolution.
9. Facilitating project teams and presenting updates to leadership.
10. Tracking progress and communicating project status to all impacted parties.
11. Building communication plans for implementation.
12. Overseeing vendors to ensure service levels and quality are maintained.
Required Qualifications:
1. 5+ years of product management/ownership experience.
2. 5+ years' experience working with healthcare analytics products and systems.
3. 3+ years' experience meeting project milestones and negotiating for resources.
4.
3+ years' experience developing best practice documentation.
Preferred Qualifications:
1. Knowledge of fraud, waste and abuse identification and management.
2. Cross-functional matrix partnership experience.
3. API experience.
4. Agile, Lean and/or Six Sigma Project Management skills.
5. Claims processing experience or End-to-End claims knowledge.
6. Strong organizational skills.
Education:
1. Bachelor's degree required.
2. MBA or Master's degree preferred.
Pay Range:
The typical pay range for this role is: $106,605.00 - $284,280.00.
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits, 401(k) retirement savings plan, Employee Stock Purchase Plan,
fully-paid term life insurance, short-term and long-term disability benefits, well-being programs, education assistance, and more.
For more detailed information on available benefits, please visit Benefits | CVS Health.
We anticipate the application window for this opening will close on: 01/31/2025.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender,
sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
#J-18808-Ljbffr