Job Description

Job Description
Applies strategic and innovative thinking to create and implement new process, workflow, and communications in support of initiatives, pilots, and process improvement projects requested by business partners and key stakeholders across the enterprise; including CVS Health Hubs, Transformation, Medical Cost Savings, HEDIS/Stars, Data Science, and Medicare clinical operations.
Ensures development of simplistic and innovative solutions related to necessary workflow and process changes while keeping the member and associate experience in the forefront.
Develops relationships with internal peers and cross-functional team members to ensure a collaborative effort to deliver on the mission of Medicare Care Management.
Supports the business by recommending appropriate actions, strategies and/or alternatives to meet business needs.
Has responsibility for leading/managing all aspects of a project and or program such as planning, coordination, development, implementation including the financial implications while prioritizing work, resources and time.
Ensures the end state of the project and/or business operations meets business objective(s) and that all deliverables and due dates are met.
Highly collaborative process often requires managing relationships across the segments or multiple functional areas.
Applies process improvement strategies to document end to end workflows for new and existing processes
Conducts research associated with business issues, system requirements and customer needs related to new process or workflow implementation while anticipating and resolving barriers
Creates simplistic and user-friendly workflows, job aids, and additional resources to support the operation teams in change implementation
Assists in the development of communications and training materials
Partners with performance management and system optimization teams to develop process solutions driving the Medicare care management strategic direction
Participates in special projects that impact operational workflows
Monitors and tracks progress related to process and workflow needs of pilot and initiative implementation
Elevates risk, communicates dependences, and recommends alternative solutions to allow for mitigation
Effectively prioritizes and manages multiple and often competing initiatives, pilots, and projects
Serves as a SME on Medicare care management process and workflow with cross functional business partners and stakeholders
Builds communication plan for implementation to ensure all impacted parties (upstream/down stream) are informed of next steps for completion.
Acts as an advocate for change may require influencing others to see the value in project.

Required Qualifications
1-2 years related experience. (this is typically an entry level yrs of experience.) Please up to 3
Proven track record meeting project dates.
3-5 years related work experience.

Education and Certification Requirements:
BA or equivalent experience.

Additional Information:
Key skills are strategic thinking, communicating for impact, collaboration, and driving for results. Requires ability to be innovative and resourceful in developing solutions.

Preferred Qualifications
Please review required qualifications above

Education
Bachelor's degree or equivalent experience

Business Overview
At Aetna, a CVS Health company, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.

We are committed to maintaining a diverse and inclusive workplace. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, gender, gender identity, age, disability or protected veteran status. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.