CVS Health

LD Director, UM Innovation Delivery

CVS Health

full-time

Posted on:

Location Type: Remote

Location: Remote • Connecticut • 🇺🇸 United States

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Salary

💰 $100,000 - $231,540 per year

Job Level

Lead

Tech Stack

Microservices

About the role

  • Lead and manage strategic projects and programs from initiation to completion, ensuring on-time delivery, budget adherence, and alignment with defined scope and objectives
  • Drive transformation initiatives to modernize healthcare UM operations by aligning cross-functional teams (business, IT, architecture, operations) to deliver strategic goals and continuous improvement
  • Collaborate with senior leadership to define strategic plans, establish program objectives, and ensure alignment with organizational priorities
  • Set up and execute SAFe Agile trains; lead PI planning and sprint execution while coaching teams and leaders on agile methodologies and best practices
  • Define product features, prioritize MVPs, and develop delivery roadmaps for UM automation capabilities, including deployment of APIs, ODM Rules Engine, predictive models, and AI voice technologies
  • Oversee configuration and maintenance of business rules and automation tools to support scalable and efficient operations
  • Apply formal project management methodologies to manage timelines, risks, dependencies, and change controls; maintain detailed documentation, dashboards, and executive-level reporting
  • Monitor budgets and resource allocation to ensure financial accountability and maximize ROI; proactively develop mitigation strategies and contingency plans to address risks
  • Responsible for developing, motivating and managing a high-performing team members to meet organizational goals and objectives while effectively managing change
  • Contribute to a motivated work environment by working collaboratively and effectively with key stakeholders across Health Care Business and Aetna Clinical Solutions to achieve common goals

Requirements

  • 10+ years experience in healthcare project management with proven track record of leading large-scale, complex initiatives in healthcare insurance or managed care organization
  • Strong understanding within clinical and health plan operations and value creation methodologies including Utilization and Policy Management, Care Management and Coordination, Quality, Compliance and Regulatory Management
  • Successful experience in strategic planning, execution, and agile project portfolio management within healthcare industry
  • Expertise in technologies such as APIs, Microservices, Business Rules, Predictive Modeling, AI, NLP
  • High ability to consistently produce and create value and meet/exceed committed performance
  • Strong interpersonal and communication skills, effectively communicate key messages to executive leaders and internal/external stakeholders
  • Strong verbal and written communication skills; proven ability to deliver presentations to senior leadership team members
  • Effectively lead and motivate teams to ensure high standards of performance and outcomes
Benefits
  • Affordable medical plan options
  • 401(k) plan (including matching company contributions)
  • Employee stock purchase plan
  • No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs
  • Confidential counseling and financial coaching
  • Paid time off
  • Flexible work schedules
  • Family leave
  • Dependent care resources
  • Colleague assistance programs
  • Tuition assistance
  • Retiree medical access

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard skills
project managementagile methodologiesSAFe AgileAPI developmentpredictive modelingNLPbusiness rulesautomation toolschange managementrisk management
Soft skills
leadershipcommunicationcollaborationteam motivationstrategic planninginterpersonal skillspresentation skillsperformance managementproblem-solvingstakeholder engagement
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