Jobs in the United States

25+ jobs

Added 1 min ago
GM
Medical Assistant Certified - ENT Clinic - Full-time Days
Grady Memorial Hospital Corporation
Atlanta, GA
- Full-time
…clinical tasks during patient care. The CMA reports to the clinic manager, who is responsible for the administrative supervision, staff development, and orientation of the CMA to the area's…
Added 1 min ago
AP
Senior Manager, Cell Therapy Hub
AstraZeneca Pharmaceuticals LP Company
United States
- $137,937.6 to $206,906.4 USD / year
We are seeking a Senior Manager, Cell Therapy Hub to join our Cell Therapy Patient Operations team supporting clinical and commercial cell therapy production across multiple sites. This…
Added 1 min ago
Senior Director, Program Lead - Neuroscience
Merck Sharp & Dohme LLC
NJ · PA
Owning proactive inspection readiness across the trial/program lifecycle, including supporting the authoring of post-inspection observation responses and CAPA/SQI management, in close…
Added 1 min ago
Senior Director, Program Lead - Cardiovascular
Merck Sharp & Dohme LLC
NJ · PA
Owning proactive inspection readiness across the trial/program lifecycle, including supporting the authoring of post-inspection observation responses and CAPA/SQI management, in close…
Added 1 min ago
Associate Technician, Operations
Merck Sharp & Dohme LLC
NC
Solid line report to: Manager, Maintenance & Operations
Added 2 mins ago
Maintenance Engineer – Aerospace Materials
Texstars, LLC.
United States
In the Maintenance Engineer – Aerospace Materials you will coordinate activities between the operations and maintenance teams such as troubleshooting breakdown repairs, and installation or…
Added 2 mins ago
Process Engineer (Food Manufacturing)
CONAGRA
Rensselaer, IN
Reporting to the Plant Manager at our Rensselaer, IN manufacturing facility, you will be a key driver of innovation and continuous improvement. You will lead Daily Management Systems (DMS),…
Added 2 mins ago
Operations Program Manager
Lightmatter
Mountain View, CA
As an Operations Program Manager, you will serve as the primary operational program owner driving supplier execution, Statement of Work governance, and master build planning across silicon…
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Global Supply Manager
Lightmatter
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As a Global Supply Manager (GSM), you will serve as the commercial lead owning strategic sourcing, supplier governance, pricing negotiations, and commercial contracts across our critical…
Added 2 mins ago
CC
Director of the Office of Clackamas 911
Clackamas County
Oregon City, OR
- $153,662 to $206,093 USD / year
…for leading one of the county's most critical public safety…
Added 2 mins ago
CC
Housing Services Program Monitor
Clackamas County
Oregon City, OR
- $38.18 to $48.36 USD / hour
At least four (4) years of experience working as a case manager or program coordinator for a safety on the streets/outreach, emergency shelter, housing navigation, and/or supportive housing…
Added 2 mins ago
HC
Culinary Retail Supervisor
HHS Culinary and Nutrition Solutions, LLC (USA)
Youngstown, OH
- $20 USD / hour
Preferred: 6+ months of supervisor experience (cook, line cook, commercial kitchen, fast food, culinary operations, restaurants, supervisor, dietary department, foodservice, hourly manager,…
Added 2 mins ago
HC
Cook
HHS Culinary and Nutrition Solutions, LLC (USA)
Houston, TX
- $16 USD / hour
Under the guidance of the chef/production manager, cook meals and provide food service for patients, the retail cafe, and catering events at the hospital.
Added 2 mins ago
CO
Environmental Programs Specialist
City of Azusa
Azusa, CA
- $48.4 to $58.83 USD / hour
The City of Azusa Light & Water Department is now hiring an Environmental Program Specialist!
Added 3 mins ago
Manager-In-Training
Sarku Japan
North Olmsted, OH
The Manager in Training (MIT) program is designed to develop future restaurant leaders within Sarku Japan. This role provides hands-on experience in all aspects of restaurant operations,…
Added 4 mins ago
EE
Unit Safety Manager 2 - Ascension - D249
Express Employment Professionals
Geismar, LA
- $64,600 to $83,600 USD / year
Express Employment Professionals, a full-service staffing agency, is currently hiring for a Unit Safety Manager.
Added 4 mins ago
CH
Pharmacy Technician
CVS Health
Springfield, PA
- $16.5 to $25 USD / hour
Once in role, Technicians are required to complete a rigorous company training program and satisfy all registration, licensing, and certification requirements according to their State’s…
Added 4 mins ago
QC Supervisor, Chemistry
Natural Alternatives International Inc
Vista, CA
Under the guidance of the QC Manager, the QC Lab Supervisor will be responsible for planning, organizing, directing, and evaluating routine and non-routine activities of the QC chemistry…
Added 4 mins ago
Project Manager
Crystal Clean
Sparks, NV
The Field Project Manager I, manages the day-to-day activities of field employees for planned projects and emergency response activities to ensure objectives are achieved.
Added 4 mins ago
C
Growth Marketing & Sales Development Manager
Centercode
Mission Viejo, CA
- $110,000 to $135,000 USD / year
As a Growth Marketing & Sales Development Manager, you'll help turn Centercode's story into qualified buyer conversations. That means following up with people who engage with us,…
Added 4 mins ago
Night Operations Department Supervisor
Lowe's Home Centers, LLC
South Burlington, VT
The Department Supervisor Night Operations is responsible for these activities during the overnight shift during which this manager is often the only key carrying manager in the building
Added 4 mins ago
LH
Full Time - Merchandising Service Associate - Day
Lowe's Home Centers, LLC
San Angelo, TX
- Full-time
As a Lowe's Merchandising Services Associate, you are a key connection point between Merchandising and Store Operations, allowing us to deliver a great shopping experience in every Lowe's…
Added 4 mins ago
LH
Full Time - Merchandising Service Associate - Day
Lowe's Home Centers, LLC
Owensboro, KY
- Full-time
As a Lowe's Merchandising Services Associate, you are a key connection point between Merchandising and Store Operations, allowing us to deliver a great shopping experience in every Lowe's…
Added 4 mins ago
LH
Full Time - Merchandising Service Associate - Day
Lowe's Home Centers, LLC
Owensboro, KY
- Full-time
As a Lowe's Merchandising Services Associate, you are a key connection point between Merchandising and Store Operations, allowing us to deliver a great shopping experience in every Lowe's…
Added 4 mins ago
AC
Logistics Account Manager [Tempe, AZ]
Aston Carter
Tempe, AZ
- $23 USD / hour
Demonstrated problem-solving skills in transportation, intermodal operations, or supply chain settings.

Senior Manager, Payment Integrity COE

Remote, United States

$75,400.00 - $199,144.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.

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Job details

Pay: $75,400.00 - $199,144.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.
Apply by: Nov 11, 2026
Experience: 7-10 years of progressive experience in program, project management, process improvement, audit, provider reimbursement, analytics.
Posting language: English
Posted: Nov 3, 2026

Original job description

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 The Senior Manager, Payment Integrity COE Rework & Escalations provides centralized program leadership for the intake, tracking, coordination, reporting, and resolution of rework and escalations across the Payment Integrity Center of Excellence. The role establishes a reliable operating rhythm, creates end-to-end visibility to status and risk, and ensures that owners, dependencies, decisions, and due dates are clearly documented and actively managed. This leader works across Payment Integrity, Claims, Clinical, Network, Product, Technology, Compliance, Legal, Finance, Operations, SIU, vendors, and other enterprise partners to move complex issues from intake through closure. The role converts fragmented updates into concise, decision-ready reporting, identifies recurring drivers and control gaps, and supports leaders in prioritizing corrective actions that reduce avoidable rework and improve operational stability.

Primary Responsibilities:

Rework & Escalation Portfolio Management Own the centralized portfolio of Payment Integrity rework items and escalations, including intake, categorization, prioritization, status management, aging, dependencies, risks, decisions, and closure evidence. Maintain a consistent source of truth for active work, ensuring each item has a defined business owner, accountable action owner, target date, current status, next step, and escalation path. Coordinate multiple concurrent workstreams and follow up on commitments to sustain momentum, remove barriers, and prevent unresolved items from becoming operational risks. Establish criteria and working norms for intake, triage, prioritization, handoffs, escalation, closure, and post-implementation monitoring. Cross-Functional Coordination & Issue Resolution Lead structured working sessions with business and technical partners to clarify the issue, scope, impact, root cause, interim controls, corrective actions, and decision needs. Connect the appropriate stakeholders across functional boundaries and coordinate activities when resolution requires multiple teams, vendors, systems, or processes. Identify stalled work, conflicting priorities, unclear ownership, resource constraints, and unresolved dependencies; elevate decision points with clear options and recommendations. Support sensitive or high-impact escalations with disciplined documentation, neutral facilitation, and timely communication. Reporting, Metrics & Executive Visibility Develop and maintain recurring dashboards, scorecards, portfolio summaries, aging reports, risk views, and leadership updates for rework and escalation activity. Define meaningful measures for intake volume, backlog, aging, cycle time, on-time actions, closure rate, recurrence, financial or operational impact, and other agreed performance indicators. Synthesize detailed updates into concise, decision-ready reporting that highlights progress, emerging trends, exceptions, risks, required decisions, and accountable owners. Ensure reporting definitions, data sources, status criteria, and calculation methods are documented and applied consistently. Root Cause, Corrective Action & Rework Reduction Partner with operational owners and subject matter experts to document root causes, contributing factors, failure points, and control gaps using practical process-improvement methods. Track corrective and preventive actions through implementation, validation, and sustained closure rather than administrative completion alone. Analyze patterns across rework and escalation activity to identify repeat drivers, systemic issues, high-friction handoffs, and opportunities for standardization or automation. Translate lessons learned into process, training, control, communication, governance, or technology recommendations. Governance & Operating Rhythm Design and facilitate a tiered governance cadence for working teams, functional leaders, and executive stakeholders, with clear agendas, pre-reads, decisions, actions, and follow-up. Maintain decision logs, action registers, risk and issue logs, milestone plans, and escalation records with appropriate version control and auditability. Develop standard templates, definitions, workflows, and job aids that improve consistency across the PI COE rework and escalation lifecycle. Promote accountability through transparent reporting, timely follow-up, defined service expectations, and fact-based escalation.

Stakeholder Communication & Change Enablement Build trusted partnerships with leaders, process owners, analysts, project teams, and external partners involved in rework prevention and escalation resolution. Prepare executive summaries, briefing materials, talking points, and recommendations tailored to the audience and decision required. Coordinate communication and readiness activities for process changes resulting from corrective actions, including stakeholder alignment, documentation, training, and transition support. Encourage a collaborative, no-blame approach that focuses on facts, accountability, sustainable fixes, and measurable outcomes. Team Leadership & Capability Building Lead, coach, and develop assigned employees or contractors supporting portfolio tracking, analysis, reporting, or coordination. Set clear expectations, prioritize work, review deliverables, and build repeatable capabilities that improve quality, responsiveness, and stakeholder experience. Create an inclusive environment that values transparency, disciplined execution, continuous improvement, and professional growth. Key Deliverables Centralized rework and escalation tracker with clear ownership, milestones, aging, risk, impact, and closure evidence. Recurring operational and executive-level portfolio reporting, including trends, exceptions, decisions, and recommended actions. Governance calendar and meeting artifacts, including agendas, pre-reads, action logs, decision logs, and follow-up summaries. Root-cause and corrective-action documentation for priority items, with validation of implemented solutions. Standard intake, triage, prioritization, escalation, reporting, and closure practices for the PI COE. Leadership-ready summaries of portfolio health, resource or dependency constraints, and opportunities to reduce recurring rework.

Required Qualifications 7-10 years of progressive experience in program, project management, process improvement, audit, provider reimbursement, analytics. Demonstrated experience coordinating complex, cross-functional initiatives with multiple owners, dependencies, and competing priorities. Strong ability to build and maintain trackers, action plans, dashboards, scorecards, executive summaries, and governance materials. Experience using data to identify trends, explain portfolio health, surface risk, and support prioritization and decision making. Excellent written, verbal, facilitation, organization, and presentation skills. Ability to establish structure in ambiguous situations, work independently, follow through on commitments, and appropriately escalate barriers. Proven ability to influence without direct authority and build productive relationships in a matrixed organization. Working knowledge of healthcare claims, payment integrity, reimbursement, audit, recovery, or related operational processes.

Preferred Qualifications Experience with Commercial, Medicare, Medicaid, Marketplace, or other healthcare payment models. Experience leading rework reduction, escalation management, root-cause analysis, corrective-action, operational governance, or continuous-improvement programs. Advanced proficiency with Microsoft Excel, PowerPoint, Word, Teams, and SharePoint; experience with Power BI, Visio, Planner, or comparable workflow and reporting tools. Experience coordinating vendor-related issues, service-level performance, implementation risks, or cross-enterprise handoffs. Knowledge of Lean, Six Sigma, SIPOC, RACI, ADKAR, Agile, or other structured process, change, and project-management practices. Professional certification such as CPC, CCS, CPMA, CFE, AHFI, PMP, Lean Six Sigma, or a related credential.

Education Bachelor's degree or equivalent combination of education and relevant experience.

Pay Range

The typical pay range for this role is:

$75,400.00 - $199,144.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company’s equity award program.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 11/11/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

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More about this job

Skills

Leadership
Reporting
Regulatory compliance
Prioritization
Documentation
Communication skills
Process improvement
Team leadership
Project management
Decision making
Presentation skills
Work independently
Root cause analysis
Microsoft Excel
Microsoft PowerPoint
Microsoft Word
Microsoft Teams
Microsoft SharePoint
Microsoft Power BI
Microsoft Visio
Workflow
Lean manufacturing
Agile
PMP

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