Manager, Clinical Services

plement from within our org have the attention it needs. In a separate workstream we can focus on projects that are looking to engage the CGSO team processes with projects initiated outside of our organization. Aligning work that is currently spread across multiple teams within our organization to allow us to streamline these types of projects, and and give the focus they are due with multiple system consideration. Will lead the focused workstream and will allow for intentional communication/direction both on the intake of projects and the readout to our CGSO team and where there may be impact/change. Opportunity to lead direct reports in the future.

• This position would oversee and participate in projects that are brought to the CGSO team from outside of our organization.
• Oversight of three systems utilized by our CGSO teams for prior authorization processing (CAS/MHK/NLX) and their engagement within the project
• Applicant will need to have functional knowledge of CGSO business process, and willingness to engage/organize with SME's from across each system
• Communication will be vital to provide readout to CGSO team partners on the projects and requests to allow for transparency on the work that is being completed
• Areas of the company that we may work with in this position include, but not limited to MyPBM, digital, frozen formulary, specialty, DDAT, regulatory

Required Qualifications

5+ years of related work experience
3+ years of proven experience as a Product Manager or in a similar role, preferably healthcare operations
2+ knowledge of pharmacy prior authorization process and workflows

Preferred Qualifications
Exceptional communication and interpersonal skills, with the ability to collaborate effectively with diverse teams
Strong technical acumen with a solid understanding of pharmacy prior authorization
Demonstrated ability to think strategically and execute tactically, with a focus on delivering measurable results
Strong analytical skills and ability to apply systems thinking in complex problems
Familiarity with CVS Caremark's PA Products - CAS, MedHOK, and Novologix

Education

Bachelor's degree preferred/specialized training/relevant professional qualification.

If you are passionate about improving healthcare operations and possess the skills and experience we are looking for, we encourage you to apply and join our team!

Anticipated Weekly Hours
40Time Type
Full timePay Range

The typical pay range for this role is:$54,300.00 - $159,120.00This 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.

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 Benefits | CVS HealthWe anticipate the application window for this opening will close on: 04/03/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.