Senior Manager – Project Program Management

CVS Health

. Lead the design, planning, pilot, and delivery of automation and technology solutions from concept through implementation .

Posted 9/15/2026full-timeIllinois • United StatesSenior💰 $75,400 - $182,549 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in leading complex technology delivery and enterprise programs within the healthcare payer industry, focusing on automation and technology solutions. Proficient in Agile methodologies, solution design, and managing cross-functional teams to achieve business outcomes.

Highest-signal resume keywords

Healthcare Payer Industry ExperienceAgile MethodologiesAPI Development and ManagementUtilization Management (UM)Enterprise Integration Design

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

AI/GenAI TechnologiesSDLCMicroservicesRESTful APIsIntegration StrategiesDecision Automation PlatformsBusiness Rule AuthoringPostmanFHIRHL7

Soft Skills

Stakeholder InfluenceCross-Functional CollaborationCommunication with Technical Audiences

Tools & Technologies

IBM Operational Decision Manager (ODM)API Testing ToolsDashboardsGovernance Documentation

Industry Keywords

Utilization ManagementPrior AuthorizationClinical OperationsCare ManagementHealthcare EDI Transactions

Tech Stack

Tools & technologies

CloudDistributed SystemsJavaMicroservicesSDLC.NET

About the role

Key responsibilities & impact

Lead the design, planning, pilot, and delivery of automation and technology solutions from concept through implementation
Partner with stakeholders, product owners, architects, and engineering teams to translate business needs into technical solutions, user stories, acceptance criteria, and delivery plans
Manage and prioritize the product backlog
Facilitate PI planning, sprint planning, backlog refinement, and other Agile ceremonies
Drive collaboration across business, operations, clinical, and technology teams
Align requirements, manage dependencies, and achieve business outcomes
Develop and maintain business requirements, process flows, outcome measurements, dashboards, roadmaps, and governance documentation
Monitor initiative progress, identify and mitigate risks, resolve issues, and provide status updates and executive-level reporting
Evaluate and challenge solution designs, architecture decisions, and implementation approaches
Communicate with engineers, architects, and technical stakeholders regarding APIs, integrations, rules engines, microservices, EDI, and enterprise technology platforms

Requirements

What you’ll need

8+ years of experience leading complex technology delivery, enterprise programs, product initiatives, or large-scale UM Innovation using AI/GenAI technologies
Healthcare payer industry experience required, including expertise in Utilization Management (UM), Prior Authorization, Clinical Operations, Claims, Care Management, or related domains
Demonstrated success partnering with Architecture, Engineering, Product, Operations, and vendor organizations
Strong knowledge of SDLC, Agile and SAFe methodologies, release management, quality assurance, testing, and deployment practices
Ability to influence stakeholders, drive cross-functional alignment, and communicate with technical and executive audiences
Experience leading enterprise solutions across hybrid environments, including multi-cloud, SaaS, vendor-hosted, and legacy platforms
Understanding of .NET and Java ecosystems, microservices, APIs, and distributed systems
Experience managing technical dependencies, integration strategies, solution roadmaps, and cross-functional delivery teams
Ability to lead solution design sessions, architecture reviews, technical governance, and implementation planning
Ability to interpret architecture diagrams, data flows, sequence diagrams, and integration patterns
Working knowledge of RESTful APIs, JSON, OpenAPI/Swagger, and API lifecycle management
Experience with API testing and validation tools such as Postman
Understanding of API gateways, microservices patterns, event-driven architecture, and messaging frameworks
Knowledge of enterprise integration design and best practices
Familiarity with FHIR, HL7, and Documentation Requirements Lookup Service (DTR)
Understanding of healthcare EDI transactions, including 278, 837, 835, and 270/271
Experience implementing, supporting, or optimizing business rules and decision automation platforms
Understanding of decision tables, decision trees, business rule authoring, and automated decision services
Experience with IBM Operational Decision Manager (ODM) or comparable platforms
Ability to design and support configurable business rules with minimal or no code modifications
Bachelor’s degree in business, Information Technology, Computer Science, Healthcare Administration, or related field; equivalent experience of 6–8 years will be considered

Benefits

Comp & perks

CVS Health bonus, commission or short-term incentive program
Award target in the company’s equity award program
Medical coverage
Dental coverage
Vision coverage
Paid time off
Retirement savings options
Wellness programs
Other resources supporting physical, emotional, and financial well-being