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CVS Health Senior Strategic Healthcare Senior Manager in WORK FROM HOME, North Carolina

Job Description

The Senior Manager will manage the development of the Utilization Management transformation innovation strategy and provide oversight to development and implementation of initiatives in the Clinical Services Utilization Management Organization. Typically manages multiple managers and their work teams and/or most complex projects from ideation through to implementation and value realization. Sets strategic direction for team and/or complex projects and or programs (e.g., programs that may impact one or all segments, and runs multiple years in duration with high financial implications). Has full accountability for all aspects of projects and or programs such as financial, regulatory, marketing, etc. Position Summary: As a business leader, influences all stakeholders to support key projects/programs to ensure positive outcomes that deliver on results. Drives change in order to improve performance results, organization effectiveness and/or systems/quality/services (e.g., policies, processes or systems).Identifies gaps in processes or organization and challenges self and others to develop and implement solutions. Directs accountability for impact to SG&A - Ensures accurate prioritization of key projects/programs within purview. Managing complex analytical projects through data exploration, model building, evaluation and testing. Summarizes findings through comprehensive strategic thinking and application of root cause analysis. Presents to executives, business partners and internal business areas and communicate analysis solutions, and path forward Proactively manages project timelines, build contingency plans, monitors issues and mitigate risk.

Required Qualifications

Experience desired: 7-10 years of experience working in healthcare or similar industry Demonstrated leadership experience (leading workstreams and managing critical deliverables) Proven Strategy or strategic planning experience. Strong analytical and problem-solving experience Excellent verbal and written communication skills (advanced skills in MS PowerPoint) Demonstrate ability to manage and coordinate multiple strategic projects within highly matrixed environment Bachelor's degree or equivalent experience

COVID Requirements

COVID-19 Vaccination Requirement

CVS Health requires its Colleagues in certain positions to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, pregnancy, or religious belief that prevents them from being vaccinated.

  • If you are vaccinated, you are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status within the first 30 days of your employment. For the two COVID-19 shot regimen, you will be required to provide proof of your second COVID-19 shot within the first 60 days of your employment. Failure to provide timely proof of your COVID-19 vaccination status will result in the termination of your employment with CVS Health.

  • If you are unable to be fully vaccinated due to disability, medical condition, pregnancy, or religious belief, you will be required to apply for a reasonable accommodation within the first 30 days of your employment in order to remain employed with CVS Health. As a part of this process, you will be required to provide information or documentation about the reason you cannot be vaccinated. If your request for an accommodation is not approved, then your employment may be terminated.

Preferred Qualifications

Please review required qualifications above


Bachelor's degree or equivalent experience

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.