Senior Project Manager, Medical Management

Senior Project Manager

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. We are seeking an experienced and strategic Senior Project Manager to lead clinical-focused initiatives supporting our Medical Management team. This role goes beyond traditional project managementit requires a strong business mindset, analytical capabilities, and the ability to design and implement solutions that improve clinical operations and outcomes. The ideal candidate will be deeply integrated into the business, acting as a Project Manager, Business Analyst, and Product Owner.

Key Responsibilities

Lead and manage complex, cross-functional clinical and medical management projects from initiation through execution and delivery. Serve as a strategic partner to the Medical Management team, deeply integrating into business operations to drive impactful outcomes. Act as both Project Manager and Business Analyst, analyzing business workflows, policies, and rules to design and implement effective solutions. Function as a Product Owner, translating business needs into actionable requirements and overseeing solution development. Collaborate closely with IT teams to manage technical project components, ensuring alignment between business goals and system capabilities. Develop and maintain detailed project documentation, including project plans, process flows, requirements, and status reports. Responsible for managing the budget and / or financial implications of more complex projects. Utilize data analytics and reporting tools to identify trends, solve problems, and drive continuous process improvement. Communicate complex technical concepts in clear, business-friendly language to stakeholders, including account management and external partners. Ensure projects are delivered on time, within scope, and aligned with strategic objectives. Group facilitation / presentation influencing various internal (these may be cross-functional / segment) and external parties (e.g., vendor management). Identifies issues that may stall project and addresses them by either resolving the issue or creating an alternative solution. Builds communication plans for implementation to ensure all impacted parties (upstream / downstream) are informed of next steps for completion. Acts as an advocate for change; may require influencing others to see the value in project, including managing interpersonal sensitivities and articulating the strategic view to ensure project alignment.

Required Qualifications

5 years of proven experience leading clinical or medical management projects in a healthcare or managed care environment. Strong analytical skills with proficiency in data analysis, reporting, and visualization tools. Demonstrated ability to create and interpret process flows, business requirements, and technical documentation. Experience in business analysis, including gathering and translating requirements, stakeholder engagement, and workflow optimization. Familiarity with healthcare regulations, utilization management, case management, and general medical management programs. Excellent organizational skills with a keen attention to detail and ability to manage multiple priorities. Strong communication and interpersonal skills; able to build relationships across clinical, technical, and business teams. Technical acumen to collaborate effectively with IT teams on system implementations, integrations, and enhancements. Proven track record in meeting project milestones and negotiating for resources. Advanced user of PPT; demonstrated ability to create executive summaries, presentation materials, other project artifacts.

Education

Bachelor's degree preferred in healthcare administration, business, or related field. Work experience, advanced degree or clinical background a plus.

Pay Range

The typical pay range for this role is : $67,900.00 - $199,144.00. 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. This position also includes an award target in the company's equity award program.

Great Benefits For Great People

We take pride in our comprehensive and competitive mix of pay and benefits investing in the physical, emotional, and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include : Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

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.