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.

We are seeking a highly motivated and experienced Product Manager to join our Clinical and Government Services Operations (CGSO) Technology, Strategic Initiatives team. This role will be pivotal in leading technology focused strategic initiatives that create efficiencies for our Prior Authorization/clinical program operations team and better experiences for our customers. The ideal candidate will possess a strong technical background and have a product mindset to effectively execute key initiatives, ensuring intended value is achieved. This leader will work closely with PA Operations, Information Technology (IT) Development, IT Support, Process Innovation, Product, Finance, HR, Regulatory Affairs, Legal, Analytics & Behavior Change (A&BC), and other partners.

Key Responsibilities:

Lead the development and execution of strategic initiatives within CGSO that support and optimize prior authorization operationsCollaborate with cross-functional teams to gather requirements, define project scope, and develop detailed project plansUtilize a systems thinking approach to identify and analyze, processes, workflows, and technology needs to improve operational efficiencyDefine and prioritize product features and enhancements based on stakeholder feedback and business objectivesCreate and manage project timelines, ensuring timely delivery of key milestones and deliverablesMonitor project progress and performance metrics, making adjustments as necessary to ensure alignment with strategic goalsFoster a culture of continuous improvement by identifying opportunities for enhancements and maximum valueCommunicate effectively with stakeholders at all levels, providing updates on project status and outcomesStay up on of industry trends and best practices related to prior authorization and healthcare operations

Qualifications:

3+ years of proven experience as a Product Manager or in a similar role, preferably healthcare operations1+ knowledge of pharmacy prior authorization process and workflows

Preferred Qualification

Exceptional communication and interpersonal skills, with the ability to collaborate effectively with diverse teamsExperience in collaborating with data science teams to integrate AI solutions into existing operational workflowsAbility to leverage AI tools and technologies to enhance prior authorization processesStrong technical acumen with a solid understanding of pharmacy prior authorizationDemonstrated ability to think strategically and execute tactically, with a focus on delivering measurable resultsExcellent project management skills, including proficiency in creating and managing project plansStrong analytical skills and ability to apply systems thinking in complex problemsFamiliarity with CVS Caremark’s PA Products – CAS, Medhok, and Novologix

Education

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

If you are passionate about improving healthcare operations and possess the skills and experience we are looking for, we encourage you to apply and join our team!

Pay Range

The typical pay range for this role is:

$54,300.00 - $119,340.00

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. 
 
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

We anticipate the application window for this opening will close on: 01/24/2025

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.