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CVS Health
CVS Health
MazumtirdzniecībaVeselības apdrošināšanaVeselības aprūpe
CVS Health ir Amerikas Savienoto Valstu veselības aprūpes uzņēmums, kas darbojas veselības aprūpes pakalpojumu, veselības apdrošināšanas, aptieku pabalstu pārvaldības un mazumtirdzniecības aptieku jomā. Ar tādiem uzņēmumiem kā Aetna un CVS Caremark tas atbalsta veselības apdrošināšanas segumu, recepšu medikamentu pieejamību, veselības stāvokļa pārvaldību, specializētus medikamentus un medikamentu pasūtīšanu pa pastu. Uzņēmuma apkārtnes aptiekas un plašāki aprūpes pakalpojumi ir veidoti, lai cilvēki varētu ērtāk un izdevīgāk saņemt būtiski nepieciešamo veselības aprūpi. CVS Health apvieno apdrošināšanu, aptieku un veselības aprūpes pakalpojumus, lai atbalstītu cilvēkus un kopienas visā viņu aprūpes ceļā.
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Vakances uzņēmumā

Associate Vice President of Prescription Claims Adjudication

Lead CVS Caremark’s prescription claims adjudication technology, transformation, and operations. Oversee more than 500 engineers and a portfolio exceeding $60 million.

USAmerikas Savienotās ValstisAZArizonaILIlinoisaTXTeksasa
185 400 $ – 375 950 $ / gads
HibrīdiPilna slodzeVecākais speciālistsVadošais speciālistsNepieciešamā Valoda: angļuViceprezidents
MākonisMikropakalpojumi

Apraksts

  • Set technology strategy and oversee transformation, delivery, and operational performance for CVS Caremark’s prescription claims adjudication platform and ecosystem.
  • Maintain reliable, secure, scalable claims processing for Commercial Programs, Government Services, and enterprise strategic initiatives.
  • Define a long-term vision and actionable roadmap that align people, processes, and technology.
  • Lead the move to cloud-native, microservices-based, domain-driven architecture.
  • Shift delivery from projects to products and modernize experience layers.
  • Direct API-first strategy, governance, lifecycle management, and real-time and batch integrations.
  • Apply AI, DevSecOps, test automation, and simpler architecture to improve operations.
  • Work with senior leaders in Operations, Product, Client Services, Network Management, Pricing, Data and Integration Services, and Client Experience Engineering.
  • Oversee a multi-program investment portfolio and cost base, including business cases for innovation.
  • Maintain compliance with HIPAA, NCPDP, CMS, and other regulatory requirements.
  • Lead and develop more than 500 engineers and senior technology leaders.
  • Manage technology provider and third-party relationships, and track industry and technology changes.
  • Report to the Vice President of Adjudication and Client Experience Engineering.

Prasības

  • Bring at least 15 years of progressive experience in technology, software engineering, application delivery, or platform leadership.
  • Have led large, complex organizations and enterprise portfolios with more than $50 million in accountability.
  • Demonstrate success leading technology and business transformation in a large, matrixed, highly regulated environment.
  • Have owned mission-critical platforms with demanding availability, performance, resilience, security, and operational support needs.
  • Bring experience with core platforms, AI, cloud technologies, service-based or microservices architectures, enterprise application integration, API strategy and lifecycle management, and system interoperability.
  • Show strong financial and portfolio management capabilities, including investment prioritization, workforce planning, vendor management, and delivery accountability.
  • Demonstrate exceptional stakeholder management and influencing skills.
  • Communicate complex issues clearly and make sound decisions under pressure.
  • Show success leading organizational change and building high-performing leadership teams.
  • Hold a bachelor’s degree or have equivalent relevant experience.
  • Preferred: Know pharmacy benefit management, health care claims processing, benefit administration, clinical and formulary services, pharmacy networks, or related health care transaction ecosystems.
  • Preferred: Have experience with prescription claims adjudication platforms, high-volume real-time transaction processing, and National Council for Prescription Drug Programs standards.
  • Preferred: Have experience with HIPAA and health care privacy, security, and regulatory requirements.
  • Preferred: Have experience applying artificial intelligence, automation, modern software delivery, and observability practices.

Priekšrocības

  • May receive CVS Health bonus, commission, or short-term incentive compensation in addition to base pay.
  • Eligible for an award target under the company’s equity award program.
  • Medical coverage.
  • Dental coverage.
  • Vision coverage.
  • Paid time off.
  • Retirement savings options.
  • Wellness programs.
  • Resources supporting physical, emotional, and financial well-being.

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