Job Title

Job DescriptionAs a Benefits Verification Process Owner - Manager, you will lead all aspects of Prior Authorizations (PA) including providing operational expertise, project management oversight, process improvements, development of future requirements / customizations and pivotal initiative implementations and standard methodologies. You will also provide significant input for the design, execution, and management of key initiatives within PA operations, including but not limited to process optimization.Other duties include: Manage operational improvement projects related to Prior Authorization, including creation and documentation of processes/job aides/SOPs, implementation of pilot testing and roll-out, facilitating meetings and ensure follow-up. Provide subject matter expert (SME) level assistance for programs and processes. Facilitate communication for problem resolution and changes occurring in the organization that may impact the workflow of the Pharmacy, BV and Patient Services, with specific accountability for end-to-end process evaluation, teamwork, and modification. Provides "hands on" involvement in the execution of new initiatives and technology to ensure understanding and effective utilization of new procedures and technology on an ongoing basis. Communicate major changes to all affected departments. Meeting with managers and directors of other departments to discuss cross-departmental issues and identify potential solutions. Business SME for IT improvements including ownership and approval of system requirements. Ability to work with cross-functional groups and coordinate work efforts to complete a single project Strong communication, verbal and written, and ability to influence and drive desired behaviors Ability to interact with all levels of employees and get resultsThis is an individual contributor role. Position can be located in brick-and-mortar locations in Monroeville, PA, Mount Prospect Illinois, Chandler Arizona, Redlands, California, or Orlando Florida, or within 75 miles of these locations to work from home.Required Qualifications 5+ years of health care related experience Minimum 5 years' experience leading teams Experience in Microsoft office, i.e., Excel, Power Point, and Word Knowledge of Specialty business and practice Travel required 15%-20%COVID RequirementsCOVID-19 Vaccination RequirementCVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated. You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.Preferred Qualifications Project Management Professional/PMP Certification Specialty pharmacy experience preferred Experience in Microsoft Access and Visio Proven success using communication skills, verbal and written, to influence and drive desired behaviors Knowledge of and demonstrated ability to manage sophisticated projects from start to finish. Experience delivering effective training, assess skills levels and provide candid and targeted feedback Demonstrated ability to build a project plan, run it, and implement it to achieve the desired resultsEducationBachelor's Degree or equivalent work experienceBusiness OverviewBring your heart to CVS HealthEvery one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver.Our Heart At Work Behaviors support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.