Manager, Client Benefits, CVS Health

CVS Health

Location:
United States, Woonsocket

Category:
-

Contract Type:
Not provided

Salary:

120994.00 - 130000.00 USD / Year

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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.

Job Responsibility:

Design, plan, and manage information technology (IT) projects to deliver efficient technical solutions
manage project execution for multiple software applications to ensure adherence to quality assurance standards, schedule, and scope
serve as client point of contact in defining technology driven solutions to meet business objectives
define project plans, strategy, and roadmap and measure progress against timelines and deliverables
oversee and approve solutions design and develop structures and accurate benefit plan requirements to achieve intended outcomes or recommend alternatives
serve as the subject matter expert and work with key stakeholders to determine project requirements and objectives and translate into high quality products that promote customer satisfaction
confer with project personnel to identity and resolve problems and ensure alignment between internal teams and clients on decision making and objectives
leverage operational metrics and production error root cause information to improve requirements gathering, configuration, and testing processes
develop updated project plans to include new capabilities and ensure team resources are available for successful projects and initiatives
evaluate and recommend tools, technologies, and processes to produce high quality software product platforms, and collaborate with benefits and clinical teams and customers to produce cutting-edge solutions
ensure alignment of technical solutions with business goals and provide recommendations on complex plan designs, clinical rules, and testing

Requirements:

Bachelor’s degree (or foreign equivalent) in Computer Science, Computer Engineering, Information Technology, Engineering, or a related field
5 years of progressive, post-baccalaureate experience in the job offered or related occupation
5 years of experience in Pharmacy Benefits Management (PBM) and claim adjudication
Formulary and Utilization Management
Defining clinical test conditions, training resources on clinical testing processes, and knowledge of Part D state-specific clinical programs
Software testing, quality assurance, and troubleshooting
Domain support for healthcare or retail organization
Microsoft Office Suite, including MS Project, MS SharePoint, MS Visio, and MS PowerPoint
1 year of experience in Claim processing tools: EZTEST and SalesForce
EZQUERY and SQL
CI/CD, Jenkins, GIT, or DevOps
JIRA, Rally, or Confluence
Pre-sales and account data mining
Preparing Requests for Proposals (RFPs)

What we offer:

Full range of medical, dental, and vision benefits
401(k) retirement savings plan
Employee Stock Purchase Plan
fully-paid term life insurance plan
short-term and long term disability benefits
well-being programs
education assistance
free development courses
CVS store discount
discount programs with participating partners
Paid Time Off (PTO) or vacation pay
paid holidays throughout the calendar year

Additional Information:

Job Posted:
June 24, 2025

Employment Type:

Fulltime

Work Type:

Remote work

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Manager, Client Benefits