Description

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.

Position Summary

The Project Manager (PM) leads delivery of complex, data-driven initiatives supporting Medicare supplemental benefit programs and enterprise eligibility platforms.

This role operates at the intersection of business program requirements, data processing, and system integration, translating regulatory and business needs into scalable solutions that support member eligibility determination, enrollment processes, and downstream reporting.

The PM coordinates efforts across business, product, and technology teams to deliver solutions that:

• Process and integrate multiple data sources (e.g., claims, clinical, enrollment, and external inputs)
• Support eligibility determination and enrollment workflows
• Generate standardized outputs for internal stakeholders and external partners
• Maintain data integrity, traceability, and audit readiness in a regulated environment

The role also benefits from a working knowledge of enterprise data platforms (e.g., GCP/BigQuery) and the ability to perform targeted data analysis to support requirements validation, issue triage, and operational decision-making.

This position requires a strong ability to navigate ambiguity, connect business intent to technical execution, and manage interdependencies across interconnected platforms, while ensuring alignment with CMS and enterprise standards.

Primary Duties & Responsibilities

What You'll Do

• Lead end-to-end delivery of initiatives involving data processing, eligibility and enrollment workflows, and reporting solutions
• Partner with business and technical teams to translate requirements into structured plans, functional requirements, and testable deliverables
• Drive coordination across teams to ensure successful implementation and a smooth transition to operations
• Drive User Acceptance Testing (UAT) to validate system behavior, data outputs, and operational readiness
• Lead data validation and reconciliation activities to ensure consistency across source systems and downstream platforms
• Perform or support targeted data analysis using SQL or similar tools to validate requirements, investigate issues, and support operational decision-making
• Support implementation and production readiness, including transition to operations, issue triage, and post-release monitoring
• Ensure documentation, processes, and deliverables meet regulatory, compliance, and quality standards
• Act as the central point of coordination across stakeholders, managing scope, risks, dependencies, and delivery timelines
• Identify and drive improvements to data quality, workflow efficiency, and delivery practices
• Promote Agile and hybrid methodologies where applicable
• Identify opportunities to streamline operations, improve data quality, and enhance automation

What You'll Bring

• 5+ years of experience managing cross-functional projects in complex, matrixed environments
• Strong ability to collaborate across business and technical teams and drive alignment among diverse stakeholders
• Demonstrated ability to operate effectively in ambiguous environments, connecting disparate inputs to form clear, actionable plans
• Excellent communication skills, with the ability to provide clear and concise updates to both team members and leadership
• Proven track record of problem-solving, particularly in resolving data discrepancies and system-related issues
• Proficiency with Microsoft O365 tools (Excel, PowerPoint, Project) and collaboration platforms (Teams, Jira, etc.)
• Strong organizational skills and attention to detail, with a focus on delivering high-quality, audit-ready outputs
• Working knowledge of SQL and data querying concepts, with the ability to analyze datasets to support validation, testing, and issue investigation

Preferred Qualifications

• Experience in healthcare, insurance, or other regulated industries
• Experience with S19, SSBCI, or Medicare compliance programs
• Experience working with GCP, Oracle, and SQL Server databases
• Ability to write or modify SQL queries to support analysis, validation, and troubleshooting
• Experience supporting CMS audit readiness and regulatory compliance initiatives
• Experience with data reconciliation, UAT coordination, and production support processes

Education

Bachelor's degree in Business, Information Systems, Healthcare, or a related field (or equivalent experience)

Anticipated Weekly Hours
40

Time Type
Full time

Pay Range

The typical pay range for this role is:

$54,300.00 - $145,860.00

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.

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 offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 06/22/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.