CVS Health

Project / Program Manager

CVS Health

full-time

Posted on:

Origin:  • 🇺🇸 United States

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Salary

💰 $66,330 - $145,860 per year

Job Level

Mid-LevelSenior

Tech Stack

AWSAzureCloudGoogle Cloud PlatformMicroservices

About the role

  • Support implementation of strategic initiatives for the Utilization Management (UM) Clinical Services organization using artificial intelligence, rules engines, predictive analytics, intelligent character recognition, and cognitive AI.
  • Serve as Manager, Product Owner within the Automation Team responsible for supporting delivery of multiple automation features from concept through implementation.
  • Work closely with business stakeholders to understand feature goals and partner with IT and architecture teams to define and deliver functional solutions.
  • Document detailed business and technical requirements, user stories, and process flows to guide development efforts.
  • Contribute to and support the product vision and roadmap for assigned automation features and initiatives.
  • Translate business goals into user stories and acceptance criteria in collaboration with business and technical teams.
  • Participate in backlog grooming, sprint planning, and prioritization to ensure timely delivery of high-quality features.
  • Work with cross-functional teams including clinical, business, and IT partners to align on requirements and outcomes.
  • Support tracking and communication of progress, risks, and issue resolution across features and projects.
  • Identify opportunities to improve automation features, workflows, and user experience and assist in defining success metrics and reporting on performance and value delivered.

Requirements

  • 4–6 years of experience as a Product Owner, Product Manager, Business Analyst, or similar role delivering business or technical features in an Agile environment.
  • Experience in product development of microservices and APIs in a cloud-native architecture (e.g., AWS, Azure, GCP).
  • Hands-on experience supporting the full product lifecycle: discovery, requirements, development, testing, and release.
  • Strong understanding of Agile practices and experience using tools like Jira, Confluence, or similar platforms.
  • Ability to translate business needs into clear and actionable user stories and process documentation.
  • Familiarity with working alongside technical teams such as architecture, development, and QA.
  • Effective communication and collaboration skills across diverse stakeholder groups.
  • Ability to manage multiple priorities in a dynamic, fast-paced environment.
  • Experience developing or supporting business requirements documents and process flows.
  • Knowledge of FHIR, X12 EDI transactions, interoperability standards and other healthcare integration standards (preferred).
  • Healthcare industry experience, especially in Utilization Management or clinical operations (preferred).
  • Familiarity with clinical workflows, utilization review processes, and InterQual/MCG guidelines (preferred).
  • Experience working in a SAFe or Scaled Agile environment (preferred).
  • Certified Scrum Product Owner (CSPO) or SAFe POPM (Product Owner/Product Manager) certified (preferred).
  • Bachelor's degree in Business, Healthcare Administration, Computer Science, or a related field, or equivalent experience (6–8 years) in systems, technology, standards, and process improvement may be considered.
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