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Added 24 mins ago
MG
Part-time Nabisco Merchandiser
Mondelez Global LLC
Atlanta, GA · Brookhaven, GA
- $14 to $16 USD / hour
- Part-time
…in-store execution. You’ll work closely with your Retail Territory Manager (RTM) to ensure our iconic brands - Oreo, Ritz, belVita, Chips Ahoy!, Triscuit, and more - are stocked, displayed,…
Added 24 mins ago
MG
Part-time Nabisco Merchandiser
Mondelez Global LLC
Orlando, FL · Kissimmee, FL
- $15 to $16 USD / hour
- Part-time
…in-store execution. You’ll work closely with your Retail Territory Manager (RTM) to ensure our iconic brands - Oreo, Ritz, belVita, Chips Ahoy!, Triscuit, and more - are stocked, displayed,…
Added 30 mins ago
A
Part Sales Manager – Full Time
AutoZone
Woodstock, VA · Strasburg, VA · Edinburg, VA · New Market, VA · Luray, VA
- Full-time
…WOW! Customer Service while executing store operations with excellence. Under the Store Manager’s guidance, MITs lead by example, demonstrating initiative and strong leadership. Through…
Added 38 mins ago
CH
Pharmacy Technician
CVS Health
Fuquay-Varina, NC
- $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 1 hour ago
J
Lead Technical Program Manager
Jobgether
Remote, United States
- $116,000 to $125,000 USD / year
This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Lead Technical Program Manager based in the United States.
Added 1 hour ago
EC
Project Engineer
Edwards Construction Group
Santa Barbara, CA
- $70,700 to $95,600 USD / year
…Private Commercial. Our expertise is rooted in a commitment to excellence, driven by innovation in technology, and grounded in an uncompromising dedication to…
Added 1 hour ago
Events Manager
Zoom
Jefferson City, MO
As an Events Manager at Zoom, you will own the end-to-end strategy, planning, and execution of vertical events targeting the education and healthcare industries, from industry trade shows…
Added 1 hour ago
Sr. Scheduler
Vertiv
Greenville, SC
…Infrastructure Solutions programs. This role partners closely with Program Managers, Solutions Architects, Engineering, Procurement, and Manufacturing to ensure schedule accuracy, risk…
Added 1 hour ago
AI
Part Sales Manager - Full Time
AutoZone, Inc.
Independence, MO
- Full-time
…WOW! Customer Service while executing store operations with excellence. Under the Store Manager's guidance, MITs lead by example, demonstrating initiative and strong leadership. Through…
Added 1 hour ago
AI
Part Sales Manager - Full Time
AutoZone, Inc.
Dexter, MO
- Full-time
…WOW! Customer Service while executing store operations with excellence. Under the Store Manager's guidance, MITs lead by example, demonstrating initiative and strong leadership. Through…
Added 1 hour ago
J
Manager, Experience Cloud Specialists
Jobgether
Remote, United States
- $104,000 to $135,000 USD / year
The Manager, Experience Cloud Specialists will lead and develop a high-performing team responsible for driving customer adoption, platform modernization, and revenue growth across the…
Added 1 hour ago
J
EverCommerce - Talent Acquisition Operations Manager
Jobgether
Remote, United States
- $130,000 to $150,000 USD / year
The Talent Acquisition Operations Manager will play a key leadership role in optimizing recruitment operations and strengthening the overall talent acquisition strategy within a…
Added 2 hours ago
EE
Project Executive - Commercial
EC Electric
Renton, WA
- $170,000 to $275,000 USD / year
The Project Executive leads and manages a business unit responsible for profit and loss aligned with overall company business plan. The Project Executive role has overall accountability for…
Added 2 hours ago
WS
(USA) Senior Manager I, Operations Improvement, Facility
Wal-Mart Stores East, LP
Statesboro, GA
- $116,000 to $174,000 USD / year
…standards processes governance and work flows evaluating key business components in order to assess current performance baselines identifying areas of improvements editing existing…
Added 2 hours ago
Project Manager
Metrea
Temecula, CA · Tampa, FL
Reporting to the Senior Program Manager, the Senior Project Manager serves as the operational focal point for day-to-day execution. The role translates program objectives into actionable…
Added 2 hours ago
Market Manager, Project Management
Agoda
NY
…feedback, you will help shape supply strategies, optimize marketing program adoption, and deliver actionable recommendations that drive business…
Added 3 hours ago
Senior Manager - Materials, Planning & SIOP (Onsite)
Collins Aerospace
Hollywood, FL
Collins Aerospace is looking to hire a Senior Manager -Materials, Planning & SIOP who will develop strategies and be responsible for the implementation and sustainment of the SIOP process…
Added 4 hours ago
Senior Manager, Software Development, Amazon Leo
Amazon Kuiper Manufacturing Enterprises LLC
Sunnyvale, CA
…other employees, supervisors, and staff; adhere to standards of excellence despite stressful conditions; communicate effectively and respectfully with employees, supervisors, and staff to…
Added 4 hours ago
Principal Technical Program Manager, Payload SW
Amazon Kuiper Manufacturing Enterprises LLC
Sunnyvale, CA · Redmond, WA
The Leo team is looking for a Principal Technical Program Manager with stronge experience in wir3eless communications/networking and embedded software, project management, and program…
Added 4 hours ago
CH
Pharmacy Technician
CVS Health
Gilroy, CA
- $18.55 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 hours ago
T
Site Operations Manager
TEKsystems
St Francisville, LA
- $85 USD / hour
This on-site role leads the critical facilities program at a data center and is accountable for the safe, reliable operation of the sites critical environment. The Site Manager serves as…
Added 5 hours ago
UB
Lead Cashier
Ulta Beauty, Inc.
Lancaster, OH
- $15.5 to $21 USD / hour
The Lead Cashier (LC) is responsible for the efficiency of guest transactions and maintaining excellence in cashwrap standards, including cleanliness and overall aesthetics. Experienced in…
Added 5 hours ago
Operations Manager
Ulta Beauty, Inc.
Baraboo, WI
The Operations Manager (OM) is responsible for leading through Ulta Beauty’s mission, vision, and values in order to develop a high-performing team that consistently delivers top-line sales…
Added 5 hours ago
UB
Operations Manager
Ulta Beauty, Inc.
Sacramento, CA
- $28 to $35 USD / hour
The Operations Manager (OM) is responsible for leading through Ulta Beauty’s mission, vision, and values in order to develop a high-performing team that consistently delivers top-line sales…
Added 5 hours ago
A
Part Sales Manager – Full Time
AutoZone
Oak Grove, OR
- Full-time
…WOW! Customer Service while executing store operations with excellence. Under the Store Manager’s guidance, MITs lead by example, demonstrating initiative and strong leadership. Through…

CVS Health

Senior Manager, Payment Integrity COE

Phoenix, AZ, United States

$75,400.00 - $199,144.00

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Job details

Pay: $75,400.00 - $199,144.00
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 (https://learn.bswift.com/cvshealth-mainland) .

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.

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

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