Manager, Project Program Management

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 This position is a key member of the Claim Optimization Technical Team and plays a critical role in supporting the Commercial Claim Rework Reporting program, as well as other reporting needs across the Claim Center of Excellence. The role is responsible for preparing and delivering production and ad hoc reporting as well as other data needs to support claim operations for all lines of business. Key responsibilities include developing new reports as needed, performing data analysis using multiple system data sources, and transforming complex data into clear, actionable insights that support organizational initiatives. Success in this role requires the ability to effectively manage multiple priorities while maintaining a high level of accuracy and timeliness. Strong communication and collaboration skills are essential, as this individual will partner closely with the Claims organization and supporting teams to identify key data elements, define reporting criteria, and deliver effective, data driven solutions. Required Qualifications 5+ years of directly related experience 3+ years of healthcare experience Knowledge of Aetna claim processing platform(s) (ACAS/HRP/QNXT) Experience with ETL tools such as Alteryx and/or Dataiku Strong Microsoft Excel skills, including VBA Data analytics experience with the ability to analyze, transform, and present data into meaningful insights 5-7 years of Service Operations experience Strong communication skills Proven track record in meeting milestones Flexible and adaptable; able to ...