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: Caremark LLC, a CVS Health company, is hiring for the following role in Woonsocket, RI: Manager, Client Benefits to Design, plan, and manage information technology (IT) projects to deliver efficient technical solutions. Duties include: manage project execution for multiple software applications to ensure adherence to quality assurance standards, schedule, and scope; serve as client point of contact in defining technology driven solutions to meet business objectives; define project plans, strategy, and roadmap and measure progress against timelines and deliverables; oversee and approve solutions design and develop structures and accurate benefit plan requirements to achieve intended outcomes or recommend alternatives; serve as the subject matter expert and work with key stakeholders to determine project requirements and objectives and translate into high quality products that promote customer satisfaction; confer with project personnel to identity and resolve problems and ensure alignment between internal teams and clients on decision making and objectives; leverage operational metrics and production error root cause information to improve requirements gathering, configuration, and testing processes; develop updated project plans to include new capabilities and ensure team resources are available for successful projects and initiatives; evaluate and recommend tools, technologies, and processes to produce high quality software product platforms, and collaborate with benefits and clinical teams and customers to produce cutting-edge solutions; and ensure alignment of technical solutions with business goals and provide recommendations on complex plan designs, clinical rules, and testing. Telecommuting available. Multiple positions.- Requirements: Bachelor's degree (or foreign equivalent) in Computer Science, Computer Engineering, Information Technology, Engineering, or a related field and five (5) years of progressive, post-baccalaureate experience in the job offered or related occupation. Requires five (5) years of experience in each of the following: Pharmacy Benefits Management (PBM) and claim adjudication; Formulary and Utilization Management; Defining clinical test conditions, training resources on clinical testing processes, and knowledge of Part D state-specific clinical programs; Software testing, quality assurance, and troubleshooting; Domain support for healthcare or retail organization; and Microsoft Office Suite, including MS Project, MS SharePoint, MS Visio, and MS PowerPoint.
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Requires one (1) year of experience in each of the following: Claim processing tools: EZTEST and SalesForce; EZQUERY and SQL; CI/CD, Jenkins, GIT, or DevOps; JIRA, Rally, or Confluence; Pre-sales and account data mining; and Preparing Requests for Proposals (RFPs).Pay Range: $120994.00/year to $130000.00/year.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.
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company's 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off ("PTO") or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.
For more detailed information on available benefits, please visit https://jobs.cvshealth.com/us/en/benefits
This job does not have an application deadline, as CVS Health accepts applications on an ongoing basis.Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.