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CVS Health Provider Delegation Implementation Senior Project Manager in Frankfort, Kentucky

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. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.

Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.

Position Summary

This position will oversee and manage complex projects in support of Government Programs Network team’s process, operations, and strategy as it relates to alignment with CVS Care Delivery assets, and resides within the Network Value Based Solutions and Analytics Organization. This individual will manage multiple projects and ensure day-to-day project activities are on track / on time and will work cross-functionally to keep leadership and impacted areas / teams apprised of progress and risks. This role requires effective partnering within network as well as other business areas (clinical, operations, Medicare segment).

Required Qualifications

  • Successful project management experience in health operations or similar disciplines with increasingly more complex projects across a highly-matrixed organization

  • Project/program expertise in stakeholder facilitation, communications and relationship management

  • Medicare Advantage Products, including a basic understanding of special needs Medicare plans (e.g. DSNP, CSNP, etc.)

  • Key concepts (high level) of provider networks as they pertain to Medicare Advantage products (contracting, adequacy, value-based payment models)

Skills In:

  • Project management fundamental skills: planning, controlling, leading, risk/issue management, budget management

  • Oral and written presentations to internal/external customers, constituents and business partners, strong business acumen and can perform reasonability checks

  • Act as an advocate for change will require influencing others to see the value in project, including managing interpersonal sensitivities and articulating the strategic view to ensure project alignment

  • Effective communication within and across project teams, key stakeholders

Requirements:

  • Minimum 5+ years successful project management experience in health operations or similar disciplines with increasingly more complex projects across a highly matrixed organization.

  • Project / Program expertise in stakeholder facilitation, communications, and relationship management

  • Understanding & knowledge of Value based contracts

  • Ability to travel in support of critical meetings

Preferred Qualifications

  • Medicare and/or Medicaid Delegation

  • Delegation / capitation and associated contract and performance oversight

  • PMP Certification

  • Key concepts (high level) of provider networks as they pertain to Medicaid products (contracting, adequacy, value-based payment models)

  • Previous Network experience

Education

Bachelor's degree preferred/specialized training/relevant professional qualification

Pay Range

The typical pay range for this role is:

$67,900.00 - $199,144.80

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.

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. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.

For more detailed information on available benefits, please visit Benefits | CVS Health (https://jobs.cvshealth.com/us/en/benefits)

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.

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