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Added 11 mins ago
Manager, IT Audits
Liberty Utilities
Joplin, MO · Branson, MO · Bolivar, MO · Buffalo, MO · Forsyth, MO · Republic, MO · Ozark, MO · Anderson, MO · Maryville, MO · Pierce City, MO · Jackson, MO · Hollister, MO · Willard, MO · Platte City, MO · Nevada, MO · Reeds, MO · Seneca, MO · Kirksville, MO · Sedalia, MO · Greenfield, MO · Lockwood, MO · Humansville, MO · Neosho, MO · Clinton, MO · Strafford, MO · Caruthersville, MO · Malden, MO · Chillicothe, MO · Noel, MO · Sikeston, MO · Billings, MO · Hannibal, MO · Webb City, MO · Granby, MO · LaRussell, MO · Marshall, MO · Henrietta, MO · Nixa, MO · Butler, MO · Stockton, MO · Aurora, MO
Evaluate controls over critical utility systems such as customer information and billing, advanced metering infrastructure (AMI), outage management, asset management, work management, and…
Added 12 mins ago
Sr Project Manager - AI Data Centers
Jacobs
Kansas City, MO
…level - leading complex, multi-discipline programs as a Senior Project Manager (CA) Lead, across OE, EPCM, and Design-Build delivery, working alongside the most recognized hyperscale…
Added 42 mins ago
CO
WWTP Supervisor / WWTP Superintendent (DOQ)
City of Dinuba
Dinuba, CA
- $6,845 to $8,322 USD / month
…industrial pretreatment, budget participation and technical project coordination; appointment at the Superintendent level reflects the experience and judgment brought to these…
Added 43 mins ago
PATH Program Associate
BD (Becton, Dickinson and Company)
Columbus, NE
BD is one of the largest global medical technology companies in the world. Advancing the world of health™ is our Purpose, and it’s no small feat. It takes the imagination and passion of all…
Added 1 hour ago
Inside Sales Representative
Allied Universal
Carrollton, TX
QUALIFICATIONS (MUST HAVE): · Must possess one of the following:
Added 1 hour ago
Manager, Advanced Cyber Operations
Entergy
The Woodlands, TX
Job Title: Manager, Advanced Cyber Operations
Added 1 hour ago
Data Center Enterprise Account Manager
Siemens
Dallas, TX
We are a global technology company focused on industry, infrastructure, transport, and healthcare. From more resource-efficient factories, resilient supply chains, and smarter buildings and…
Added 1 hour ago
BE
Director Mortgage Servicing
Boeing Employees' Credit Union
Remote, United States
- $135,100 to $250,600 USD / year
While we’re proud of our history, we’re even more excited about our future. With business and technology transformation on the horizon, there’s never been a better time to be part of BECU.
Added 2 hours ago
GC
Global Tax Reporting Manager
Gates Co
Denver, CO
- $40,123 USD / year
…individuals to join our global team. Gates is looking for a Tax Manager who will be located in our downtown Denver global headquarters. In this role, you will gain broad exposure to global…
Added 2 hours ago
Information Systems Security Manager / Specialist
Node.Digital
Arlington, VA
Must have an active Top Secret Clearance · - Must have an active TS/SCI clearance
Added 3 hours ago
VP Pharmacy Services
GuideWell
Jacksonville, FL
…Health Services, and provides organization-wide direction for project and functional resources inside and outside the reporting structure. Additional responsibilities include applying…
Added 4 hours ago
PA
IT Director
Pava Applications International Corporation
San Diego, CA
- $170,000 to $200,000 USD / year
We seek a technically proficient IT Director to lead infrastructure, cybersecurity, operational reliability, and technology modernization. This role combines strategic accountability with…
Added 4 hours ago
Additive Manufacturing Dev Ops Manager
RTX
United States
Qualifications You Must Have
Added 5 hours ago
Program Management Manager
Swagelok Company
Solon
…Commercial, Operations, Engineering, Compliance, Information Technology, and regional leaders to identify and mitigate risk, improve local ownership and process effectiveness, support…
Added 5 hours ago
Fraud Analytics and Innovation Leader - Authentication
Merrill Lynch, Pierce, Fenner & Smith Inc
United States
…channels. Responsibilities include evaluating authentication controls, monitoring customer verification and step-up authentication performance, reviewing fraud and scam losses for…
Added 5 hours ago
PC
Crisis Clinical Program Manager
Pacific Clinics
San Jose, CA
- $106,022 to $130,394 USD / year
Applies advanced skill in acquisition and application of clinically related information to effectively intervene with individuals and families in the context of a crisis.
Added 6 hours ago
Maintenance Technician III
Boston Scientific
Carlsbad
Valid driver’s license required
Added 6 hours ago
Director, Data Platform & Integration Engineering Lead
TD Securities (USA) LLC
NY
…data platforms and integration capabilities for TDS AI & Data Technology: strategic data platforms and lakehouse, processing frameworks and self-service, data ingestion, streaming and…
Added 6 hours ago
Senior Program Manager - Physical Access
Pacific Gas And Electric Company
Oakland, CA
Corporate Security leads the effort to deliver secure and reliable technology and operational outcomes across the organization. Collaborating closely with Cyber Security, Corporate Security…
Added 6 hours ago
Staff Accounting Manager
Lyten, Inc.
San Jose, CA
…people who want to make a difference. We’re not just developing advanced supermaterials - we’re about to change the world as we know it, reshaping how energy is stored, how products are…
Added 7 hours ago
Senior Manager, Ergonomics & Human Factors
Universal Parks & Resorts
Orlando, FL
The Global EHS Sr. Manager – Ergonomics and Human Factors partners on the development and execution of human-centered design strategies focused on performance wearables, costumes, and…
Added 7 hours ago
NPI Buyer Planner I
NIBE Element North America
Hayward, CA
Therm-x of California is the leading manufacturer of Advanced Temperature and Control Systems for Hi-Technology industries. We have been in business for over 30 years and have a diverse…
Added 7 hours ago
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AVP Information Security
PROVIDENT CREDIT UNION
Redwood City, CA
- $155,000 to $202,000 USD / year
Lead security risk assessments for internal projects and technology initiatives, ensuring assessments are completed in a timely manner, risks are identified and evaluated, and appropriate…
Added 7 hours ago
PS
Treasury Systems Analyst
Primoris Services Corporation
Irvine, CA
- $96,000 to $153,000 USD / year
…support the continued evolution of our Treasury Operations technology environment. This role serves as the bridge between Treasury, Finance, Accounting, IT, and banking partners, helping to…
Added 7 hours ago
A
External Manufacturing Manager
Amneal
Piscataway, NJ
- $150,000 to $160,000 USD / year
The Manager, External Manufacturing Operations (EMO) is the primary operational contact for assigned contract manufacturing organizations (CMOs/CDMOs), products, and manufacturing programs.…

Closed listing

Senior Manager, Payment Integrity COE

Hartford, CT, United States
Phoenix, AZ, United States
Chicago, IL, United States
New York, NY, United States
New Albany, OH, United States
Cumberland, RI, 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.

This opening has closed.

The original listing is kept below for reference.

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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.
Experience: 7-10 years of progressive experience in program, project management, process improvement, audit, provider reimbursement, analytics.
Posting language: English
Posted: Nov 3, 2026

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Original job description

Archived listing. The details below describe a past opening.

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.

About employer

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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Jobs in the United States