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Added 2 mins ago
IT Project Manager (Active TS/SCI Clearance Required) - Sign-On Bonus Up to $5,000
Akima, LLC
Camp H M Smith, HI
This position also requires the Project Manager to provide a Monthly Status Report (MSR) to the Contracting Officer's Representative (COR)-appointed Technical Assistant (TA), detailing the…
Added 4 mins ago
A
Quality Assurance Associate
Actalent
Indianapolis, IN
- $36 USD / hour
Author, review, and approve quality-related documentation to support changes, including performing technical reviews and collaborating with leadership on complex technical topics when…
Added 8 mins ago
T
Development Manager
TEKsystems
San Diego, CA
- $138,000 to $178,600 USD / year
We are seeking a Development Manager to lead a team responsible for the development and ongoing enhancement of critical core banking and business applications. This is a hands-on leadership…
Added 10 mins ago
Telecommunications Specialist 4 (Technical Specialist 4) - San Antonio, TX
M.C. Dean, Inc
San Antonio, TX
The specialist is the technical authority for inside plant (ISP) and outside plant (OSP) infrastructure on assigned task orders. This includes cabling, equipment, pathways, spaces, and…
Added 10 mins ago
Information Security Specialist (US)
TD Bank, N.A.
Mount Laurel, NJ · Fort Lauderdale, FL
Review project requirements and planned technical designs to ensure proper security patterns are accounted for.
Added 17 mins ago
WP
Controls Engineer (Part-Time)
West Pharmaceutical Services
Jersey Shore, PA
- Part-time
Minimum 3 years Experience in supporting technical project management preferred.
Added 17 mins ago
Manager, Trial Delivery Management
J&J Family of Companies
Spring House, PA
…Making, Laboratory Operations, Mentorship, Process Improvements, Project Integration Management, Research and Development, Research Ethics, Standard Operating Procedure (SOP), Technical…
Added 18 mins ago
Manager, Enterprise Communications & Channels
Amentum
Harrisburg, PA
The Manager, Enterprise Communications & Channels is responsible for developing and delivering employee communication programs that inform, engage, and connect employees to Amentum's…
Added 18 mins ago
Submarine Project Manager - Washington, D.C.
Serco
Abbottstown, PA · Orrtanna, PA · New Oxford, PA · Gettysburg, PA
Are you looking for Project Manager role where you will lead your team to support our US Navy? Then Serco has the right opportunity for you!
Added 18 mins ago
IG
REMOTE-Sr. Project Manager
Insight Global
Blue Bell, PA
- $70 to $85 USD / hour
We are seeking a Senior Implementation Manager to support a large-scale Single Sign-On (SSO) migration initiative. This individual will help lead the migration of 200+ SSO integrations from…
Added 18 mins ago
Controller
Concurrent Technologies Corporation
Johnstown, PA
Drive technical innovation and excellence across the organization to enhance capabilities and competitiveness.
Added 19 mins ago
Principal Aftermarket Technical Product Manager
GE Aerospace
Erie, PA · Imperial, PA · Trevose, PA
As Principal Technical Product Manager – Aftermarket, you will own the product vision, strategy and roadmap for the digital solutions that support the Service & Repair value streams in…
Added 19 mins ago
Clinical AI Technical Integration Specialist
GovCIO
Harrisburg, PA
Route tickets and technical findings to appropriate escalation teams including Scribe support teams, ESD, OCTO shared services, and program leadership.
Added 19 mins ago
FC
CONSTRUCTION PROJECT MANAGER
Fulton County
Alpharetta, GA
- $73,105 to $101,707 USD / year
Represents the project internally for all County concerns: consults with program manager or other officials to review status of projects, review/resolve problems, receive advice/direction,…
Added 19 mins ago
Project Manager 4 (Project Manager/SRE)
GovCIO
Harrisburg, PA
GovCIO is currently hiring a Project Manager to support the VA experience to support the Department of Veterans Affairs (VA) Project Management team to oversee the day to day operations,…
Added 19 mins ago
Senior Proposal Manager
Maximus
Harrisburg, PA
Manages project teams and provides technical guidance and strategy to employees, colleagues and/or customers
Added 19 mins ago
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Program Manager, EBMS
CBRE
Harrisburg, PA
- $105,000 to $115,000 USD / year
Proficiency with project/program managementtracking software (e.g. SmartSheets, Asana, QuickSight (Power BI), MS Project,etc)
Added 19 mins ago
Systems Administrator – Kiteworks
SitusAMC
Harrisburg, PA
Support infrastructure workstreams on site and project development efforts, providing solution design input, effort estimates, and technical risk assessment during the planning phase.
Added 19 mins ago
Manager Strategic Risk Adjustment Programs
Highmark Health
Harrisburg, PA
…works closely with senior/executive leadership, Physicians and technical staff within the Enterprise and within strategic hospital partners, to identify, prioritize, and deliver large and…
Added 19 mins ago
Manager, Project Management - Prior Authorization
CVS Health
Harrisburg, PA
This individual contributor is responsible for the project management, operational coordination, and production support of Prior Authorization and Referral transactions and provider-facing…
Added 19 mins ago
Engineering Project Manager - Turbine Mechanical Solutions
Emerson
Pittsburgh, PA
At Emerson, it’s about more than technology, it’s about purpose. If you are a project management professional who wants to lead work that truly matters, this role offers a unique…
Added 19 mins ago
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Advanced Compute and Solutions Program Manager
HP
Fort Collins, CO · Spring, TX · Fort Collins · Spring
- $147,050 to $219,050 USD / year
ACS (Advanced Compute & Solutions) is seeking a Solutions Program Manager to lead ACS systems level programs on our high growth, future-oriented businesses, including Data Science, AI and…
Added 19 mins ago
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Worldwide Integrated Marketing Manager (ACS)
HP
Fort Collins, CO · Spring, TX · Fort Collins · Spring
- $106,050 to $140,000 USD / year
The Worldwide Integrated Marketing Manager is responsible for driving the execution of marketing communications strategies within the assigned business area, adhering to established…
Added 19 mins ago
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Technical Project Manager
Actalent
Pittsburgh, PA
- $68 to $82 USD / hour
We are seeking a dedicated Technical Project Manager to oversee factory design projects from concept development through to final implementation. This role involves establishing project…
Added 19 mins ago
Manager, Implementation
J&J Family of Companies
Pittsburgh, PA
We are seeking a Manager, Implementation to drive projects from initiation to completion. The Manager, Implementation will own the launch process in designated therapeutic areas, defining…

CVS Health

Manager, Project Management - Prior Authorization

Harrisburg, PA, United States

$60,300.00 - $132,600.00

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Job details

Pay: $60,300.00 - $132,600.00
Experience: 5–7 years of healthcare-related work experience.
Posting language: English
Posted: Nov 5, 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

This individual contributor is responsible for the project management, operational coordination, and production support of Prior Authorization and Referral transactions and provider-facing workflows. The role serves as a key liaison between business, technology, production support, and external partners to manage project deliverables, support transaction-related issue resolution, coordinate testing and implementation activities, and help ensure reliable provider experiences across Prior Authorization and Referral solutions. The position will serve as a primary point of contact for Production Support ticket issues, helping assess reported problems, coordinate investigation across appropriate partners, track issues through resolution, and identify opportunities for process or workflow improvement. Additionally, the role will support roadmap initiatives, enhancement efforts, release readiness, and business requirements while helping translate provider and operational needs into actionable project deliverables.

What will you do

Manage and coordinate projects and enhancements supporting Prior Authorization and Referral transactions, workflows, and provider experiences.
Serve as a primary point of contact for Production Support ticket issues, coordinating investigation, escalation, tracking, and resolution with appropriate business and technology partners.
Partner with business, technology, EDI, interoperability, and other stakeholders to investigate and resolve transaction and workflow-related issues.
Coordinate project activities including requirements gathering, documentation, milestone tracking, risk and issue management, testing, implementation readiness, and post-production support.
Support analysis of Prior Authorization and Referral transaction behavior and provider workflows to identify root causes, recurring issues, and opportunities for improvement.
Coordinate business testing activities for system enhancements and releases, including test scenario development, defect management, validation, and implementation support.
Translate business and provider needs into clear requirements and work with technology partners to support solution delivery.
Monitor project deliverables, dependencies, risks, and outstanding decisions and proactively escalate items that could affect delivery or the provider experience.
Support intake and prioritization of enhancements, defects, and roadmap opportunities impacting Prior Authorization and Referral capabilities.
Develop and maintain project documentation, workflow documentation, status reporting, issue tracking, and stakeholder communications.
Facilitate cross-functional meetings and working sessions to drive decisions, remove blockers, and ensure clear ownership of deliverables.
Support implementation and post-release monitoring to validate expected outcomes and quickly identify production issues.
Act as a key operational and project resource for continuous improvement of Prior Authorization and Referral transaction capabilities and provider-facing workflows. Required Qualifications
5–7 years of healthcare-related work experience.
Experience supporting Authorization and Referral workflows, preferably within payer, provider, EDI, or healthcare transaction environments.
Demonstrated project management experience coordinating work across business and technology teams.
Experience with production issue management, including investigation, triage, escalation, root-cause identification, and coordination through resolution.
Experience supporting requirements gathering, business testing, implementation, and post-production activities.
Strong analytical, problem-solving, and decision-making skills.
Strong collaboration and teamwork skills with the ability to coordinate across multiple business and technology stakeholders.
Strong written and verbal communication skills, including the ability to translate technical or transaction-related issues into clear business language.
Ability to manage multiple priorities, project deliverables, and production issues in a fast-paced environment.
Demonstrated growth mindset, adaptability, and willingness to develop deeper expertise in Prior Authorization and Referral capabilities. Education
Bachelor’s degree in Business Administration, Healthcare Administration, Information Systems, Project Management, or a related field preferred.
Equivalent combination of education and relevant healthcare, Prior Authorization/Referral, EDI, or project management experience may be considered in lieu of a degree.

Anticipated Weekly Hours

Time Type

Full time

Pay Range

The typical pay range for this role is:

$60,300.00 - $132,600.00

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.

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 (https://learn.bswift.com/cvshealth-mainland) .

We anticipate the application window for this opening will close on: 11/13/2026

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

CVS Health is an equal opportunity/affirmative action employer, including Disability/Protected Veteran - committed to diversity in the workplace.

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More about this job

Skills

Project management
Workflow
EDI
Requirements gathering
Documentation
Prioritization
Reporting
Process improvement
Problem solving
Decision making
Collaboration
Teamwork
Communication skills
Adaptability

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