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Job Details

CVS Health

Senior Manager Regulatory Reporting Program Management



Full Time

On Site


Hartford, Connecticut, United States

Job Description
As the Senior Manager Regulatory Reporting Product Management, you will manage the overall delivery of information and reporting activities by ensuring the project team appropriately defines, identifies, develops, and creates data responsive to regulatory requirements and provides oversight, coaching and mentoring of team member work.

Fundamental Components

• Supervise analytical work performed by the project team
requiring the ability to capture, analyze, and interpret claims data.
• Review team member work for accuracy and completeness
• Ensure project documentation is accurate, complete, and available to the project team, business partners and constituents.
• Facilitate and manage meetings with internal customers and business partners to translate business needs into business requirements.
• Oversee the creation of complex queries within Audit Command Language or comparable software/system
• Manage, direct, and plan one or more projects of varying complexity simultaneously while
potentially running a project independently
• Influence change or enhancements to business processes, policies, and system infrastructure to improve information quality, availability, and access.
• Negotiate resources with/in peer organizations to meet department objectives.
• Evaluate project activities, builds contingency plans, executes corrective action, and monitors issue resolution to mitigate risks such as scope and/or delivery of information.
• Use data analysis and analytical skills to provide leadership and guidance, while also working on projects independently

Pay Range
The typical pay range for this role is:
Minimum: 60,300
Maximum: 130,000

Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will take into account a wide range of factors, including location.

Required Qualifications
• Experience reviewing of state regulations, review of compliance interpretation, writing business specifications, supervise/perform data quality review, data preparation, compliance to regulatory requirements, reviewing team member work, providing mentoring/training, with little, or no oversight.

• Proficiency in all Microsoft Office software applications is required.

• Proficiency in Audit Command Language (ACL), or Access, or DB2 or SQL; data mining & report generation; advanced knowledge of claim processing, claim quality audit programs, patient management, and/or a working understanding of Aetna products.

• Advanced project management, communication and coaching/training skills

• Experience balancing multiple priorities and quickly adapting to a changing environment.

• Experience managing internal and cross functional relationship

Preferred Qualifications
• 7+ years of demonstrated supervisory/leadership experience
• 7+ years of project management experience
• 7+ years of data interpretation and analysis experience
• Advanced verbal and written communication skills
• Demonstrated ability to effectively coordinate multiple projects with competing priorities simultaneously

Bachelor’s degree or 11 years of equivalent work experience.

Business Overview
Bring your heart to CVS Health Every 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. 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.