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Manager, CAM Business Operations Lead
CVS Health. Support implementation and operational integration activities across Commercial, Medicare, and Medicaid claims operations .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in healthcare operations and claims management, with a strong focus on implementation, testing, and operational integration. Proficient in stakeholder management, change management, and governance processes to ensure successful project execution and compliance.
Highest-signal resume keywords
Healthcare Operations ExperienceCross-Functional CoordinationImplementation SupportStakeholder ManagementUAT Coordination
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims ManagementProcess ImprovementOperational IntegrationWorkflow ModernizationDigital TransformationChange ManagementRisk ManagementTesting CoordinationAutomation SupportGovernance Processes
Soft Skills
Facilitation SkillsCommunication SkillsOrganizational SkillsProblem-Solving SkillsExecution Skills
Tools & Technologies
Microsoft Office SuiteCollaboration Tools
Industry Keywords
Commercial ClaimsMedicare ClaimsMedicaid ClaimsHealthcare ComplianceOperational Risks
About the role
Key responsibilities & impact- Support implementation and operational integration activities across Commercial, Medicare, and Medicaid claims operations
- Partner with senior and operational leaders to align priorities, timelines, dependencies, and resource needs
- Coordinate cross-functional collaboration across operations, product, technology, analytics, training, and other business partners
- Identify and coordinate business SMEs for discovery, requirements validation, testing, implementation, and rollout
- Facilitate working sessions to gather operational insights, define business needs, validate workflow impacts, and support decision-making
- Incorporate frontline operational feedback into capability enhancements and roadmap discussions
- Support intake, prioritization, issue resolution, and business decision-making processes
- Support business UAT strategies, plans, and execution
- Coordinate tester participation across lines of business and stakeholder groups
- Track testing progress, defects, business decisions, and sign-off activities
- Partner with technology teams to resolve defects, assess operational impact, and support release execution
- Help ensure business validation is completed before production release
- Support communication, training, and change activities associated with CAM releases
- Track operational risks, adoption barriers, and improvement opportunities following release
- Partner with leaders to support sustained utilization, operational integration, and value realization
- Support governance forums, working groups, and leadership reviews
- Monitor and track risks, issues, decisions, and action items
- Maintain documentation related to approvals, testing outcomes, business impacts, and deployment activities
- Help ensure implementations align with business, compliance, and operational requirements
- Contribute to governance processes supporting scalable, controlled CAM growth
Requirements
What you’ll need- 5+ years of experience in healthcare operations, claims, program management, process improvement, or related functions
- Demonstrated experience coordinating cross-functional initiatives involving multiple stakeholders
- Experience supporting implementation, testing, operational integration, or business execution efforts
- Strong facilitation, communication, and stakeholder management skills
- Strong organizational, problem-solving, and execution skills
- Ability to manage multiple concurrent workstreams in a fast-paced environment
- Proficiency with Microsoft Office Suite and collaboration tools
- ACAS experience preferred
- Health claims processing experience within Commercial, Medicare, or Medicaid environments
- Experience supporting automation, AI-enabled solutions, workflow modernization, or digital transformation initiatives
- Experience coordinating large-scale UAT and production implementations
- Knowledge of change management and adoption strategies in support of implementation success
- Familiarity with governance, compliance, and operational risk management practices
- Bachelor’s degree or equivalent work experience preferred
Benefits
Comp & perks- CVS Health bonus, commission or short-term incentive program in addition to base pay
- Medical coverage
- Dental coverage
- Vision coverage
- Paid time off
- Retirement savings options
- Wellness programs
- Other resources supporting physical, emotional, and financial well-being