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. As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. **Position Summary** As a Senior Manager, you will be part of the Clinical Platform Solutions Interoperability team driving large enterprise business and system initiatives that focus on streamlining access and use of clinical data for our clinical staff. In this role, you will drive system projects and initiatives with emphasis on HEDIS bi-directional data exchange, clinical platform interoperability, technical enablement, and data acquisition, including Electronic Medical Record vendors, Health Information Exchange (HIE), Data Aggregators, and implementations of data ingest and egress pipelines. Furthermore, this role will have an affinity for collaboration, negotiation, and coordination among Information Technology (IT) teams and clinical/non-clinical operations within Utilization Management, Case Management, and Quality Management, driving towards strategic direction and objectives. Having a background in HEDIS as well as affinity towards technical concepts & build makes for an ideal candidate. Ability to work in a Hybrid Model (in office part-time during week) is preferred if reside near a HUB location. Responsibilities include: + Supports Business Development team with strong project management skills and technical knowledge of products and systems + Manages significant product initiatives and cultivates relationships with internal and external constituencies. + Directs, evaluates, and provides requirements/specifications for use of appropriate business processes and systems to support initiatives. + Ensure the end state of initiatives and/or business constituent needs meets business objective(s) and that all deliverables and due dates are met + Influence all partners to support key strategic direction to ensure positive outcomes that deliver on results + Contribute to setting the strategic direction of the overall HEDIS & clinical platform interoperability roadmap/vision + Identify gaps in processes or technology and challenges self and others to develop and implement solutions + Drive change to improve systems/quality/services (for example policies, processes, or systems) + Ensure effective communication of initiatives status to business partners and senior leadership + Excellent verbal and written communications skills + Provides leadership in negotiation and influencing sound business decisions based on data, results and information derived from industry trends, research findings, and Aetna-specific reports and analyses + Manages projects, people, customer expectations and business priorities to achieve constituent satisfaction. + Responsible for team commitments to quality and on-time deliverables. + Participates on work groups/ forums representing HEDIS and Clinical platform interoperability needs. **Required Qualifications** + 5 years or more of managed care / health insurance experience + Minimum 5 years of experience in Project Management and/or managing projects end to end + Multiple years proven leadership experience setting strategic direction and influencing change that resulted in quantifiable positive outcomes. + Strong organization skills and excellent verbal/written communications skills + At least 2 years of Healthcare Effectiveness Data and Information Set (HEDIS) experience + At least 1 year of experience utilizing Scaled Agile Framework (SAFe) methodology + At least 1 year working with Health Information Technologies, EMR vendors (i.e., FHIR), cloud technology + At least 1 year working in data analysis (SQL, Tableau etc.) + Proven track record managing complex projects and or programs **Preferred Qualifications** + Advanced understanding of Health Information Exchanges (HIE’s) and Electronic Health Records (EHRs) + In depth knowledge of Healthcare Effectiveness Data and Information Set (HEDIS) and National Committee for Quality Assurance (NCQA) + 3 - 5 years working with Health Information Technologies (i.e., FHIR) cloud technology **Education** BS/BA or equivalent experience and 5 years of experience related to standards & measurements, technology, systems, and processes, including project consultation preferred **Pay Range** The typical pay range for this role is: $75,400.00 - $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. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. **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. For more information, visit https://jobs.cvshealth.com/us/en/benefits We anticipate the application window for this opening will close on: 07/20/2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. 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.