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Manager, Strategic Initiatives

Remote, USA Full-time Posted 2025-11-03
Description: • Lead the development and execution of strategic initiatives within Clinical Operations that support and optimize prior authorization operations • Collaborate with cross-functional teams to gather requirements, define project scope, and develop detailed project plans • Utilize a systems thinking approach to identify and analyze processes, workflows, and technology needs to improve operational efficiency • Define and prioritize product features and enhancements based on stakeholder feedback and business objectives • Create and manage project timelines, ensuring timely delivery of key milestones and deliverables • Monitor project progress and performance metrics, adjusting as necessary to ensure alignment with strategic goals • Foster a culture of continuous improvement by identifying opportunities for enhancement and maximum value • Communicate effectively with stakeholders at all levels, providing updates on project status and outcomes • Stay up on top of industry trends and best practices related to prior authorization and healthcare operations • Stay connected with PA Operations, Information Technology Development, IT Support, Process Innovation, Product, Finance, HR, Regulatory Affairs, Legal, Analytics & Behavior Change (A&BC), and other partners Requirements: • 3+ years of proven experience as a Product Manager or in a similar role, preferably healthcare operations • 1+ knowledge of pharmacy prior authorization process and workflows • Exceptional communication and interpersonal skills, with the ability to collaborate effectively with diverse teams • Demonstrated ability to think strategically and execute tactically, with a focus on delivering measurable results • Excellent project management skills, including proficiency in creating and managing project plans • Strong analytical skills and ability to apply systems thinking in complex problems • Experience in collaborating with data science teams to integrate AI solutions into existing operational workflows • Ability to leverage AI tools and technologies to enhance prior authorization processes • Strong technical acumen with a solid understanding of pharmacy prior authorization • Familiarity with CVS Caremark’s PA Products – CAS, Medhok, Novologix, and CRxM • Education Bachelor's degreerequired/specialized training/relevant professional qualification. Benefits: • Affordable medical plan options • a 401(k) plan (including matching company contributions) • 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 • For more information, visit https://jobs.cvshealth.com/us/en/benefits Apply tot his job Apply To this Job

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