Note: The job is a remote job and is open to candidates in USA. CVS Health is a healthcare company focused on creating a more connected, convenient, and compassionate health experience. The Senior Manager, Encounter Program Operations leads product ownership, quality assurance, reporting, data integrity, and market performance functions across the encounter-processing portfolio. The role directs cross-functional execution, develops talent, and ensures compliant delivery, reliable data, actionable insights, and improved encounter outcomes.
Responsibilities
- **Product ownership and delivery:** Set product vision, strategy, roadmap, backlog, release plans, and outcome measures; balance value, risk, capacity, dependencies, and technical constraints
- **Testing and quality assurance:** Direct functional, regression, integration, user acceptance, production-validation, and post-implementation testing, including traceability, acceptance criteria, and defect governance
- **Tactical reporting:** Ensure timely, accurate, actionable operational and leadership reporting that supports issue management, regulatory commitments, and performance decisions
- **Data integrity:** Lead data-quality controls, validation, reconciliation, monitoring, issue resolution, and remediation to ensure encounter data is complete, accurate, timely, traceable, and compliant
- **Market performance support:** Partner with market leaders to monitor results, identify root causes, coordinate response plans, and deliver sustained improvement in encounter outcomes
- Translate business, market, customer, and regulatory needs into capabilities, test scenarios, reporting requirements, data rules, acceptance criteria, and measurable outcomes
- Lead portfolio governance, program increment and release planning, implementation readiness, production stabilization, risk mitigation, and corrective action
- Establish balanced performance measures across delivery, testing, reporting, data quality, and market outcomes; provide concise executive and tactical updates
- Align senior leaders, markets, operations, technology, engineering, architecture, quality, analytics, compliance, vendors, and end users to accelerate decisions and resolve barriers
- Coach and develop Product Owners, project managers, analysts, testers, reporting professionals, and cross-functional partners; reinforce accountability, adoption, and continuous improvement
Skills
- 7 or more years of healthcare experience
- 5+ years People leadership**:** Builds accountable, high-performing teams through coaching, feedback, and talent development
- 8 or more years of experience in product ownership, product management, project or program management, business analysis, technology delivery, or a related field
- 3 or more years leading complex enterprise initiatives, multiple Agile teams, a product portfolio, or product and delivery professionals
- Advanced knowledge of Agile, Scrum, and SAFe practices; experience with Rally, Jira, Azure DevOps, or a comparable platform
- Demonstrated success leading product strategy and backlogs, end-to-end testing, tactical reporting, data-integrity controls, market performance support, releases, and organizational change
- Prior experience supporting Medicaid and Medicare programs, including healthcare payer operations, encounter data, or regulatory reporting
- Strong executive presence with the ability to influence senior stakeholders, resolve competing priorities, and communicate complex topics clearly
- Bachelor's degree in a related field or an equivalent combination of education and relevant experience
- SAFe Product Owner/Product Manager, Certified Scrum Product Owner, Project Management Professional, or comparable certification
- Healthcare payer, claims, encounter data, consumer analytics, or regulated healthcare technology experience
- Knowledge of encounter intake, validation, submission, reconciliation, data quality, and regulatory reporting
- Experience leading professional staff and managing vendor-supported platforms or integrations in a matrixed environment
- Master's degree preferred
Benefits
- CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above
- Award target in the company’s equity award program
- Hybrid work environment, with eligible hires working onsite three days a week under the hybrid work policy
- Medical coverage, based on eligibility
- Dental coverage, based on eligibility
- Vision coverage, based on eligibility
- Paid time off, based on eligibility
- Retirement savings options, based on eligibility
- Wellness programs, based on eligibility
- Other resources supporting the physical, emotional, and financial well-being of colleagues and their families, based on eligibility
Company Overview
Company H1B Sponsorship