Executive Director Application Development- Commercial claim and reimbursement
Executive Director Application Development- Commercial claim and reimbursement
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$ 175100 - 334750
1 Vacancy
Job Description
Bring your heart to CVS Health. Every one of us at CVS Health shares a single clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced humancentric health care for a rapidly changing world. Anchored in our brand with heart at its center our purpose sends a personal message that how we deliver our services is just as important as what we deliver.
Our Heart At Work Behaviors support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal convenient and affordable.
Position Summary
The Executive Director Application Development Commercial claim and reimbursement will define and own the vision and strategy for the mainframe ecosystem. This role is pivotal in driving the organizations modernization efforts and enhancing our critical assets including Claims Eligibility and Plans. The Executive Director will develop a flexible multiyear roadmap to revitalize the mainframe ecosystem integrating people processes and technology. Innovation will be a key component of this strategy
You will make an impact by:
- Define own and continually assess the mainframe vision strategy and roadmap ensuring that the roadmap is achievable with varying levels of funding.
- Evaluate and leverage new technologies (such as AI) to augment or replace mainframebased capabilities.
- Leading engineering teams across the Commercial and Network/Provider Areas. Own and drive the mainframe development experience improving the efficiency of resources. Own and drive the resource strategy for mainframe systems ensuring stability for CVS IP on these critical assets.
- Define and revise KPIs for the solutionlevel scorecard to highlight critical metrics socialize progress and consistently reinforce objectives.
- Develop relationships with key stakeholders to understand their needs gather feedback and ensure alignment of product strategy with organizational objectives.
- Develop a strong relationship with enterprise architecture to take POC items into production.
- Fully detail the TCO for mainframe assets in collaboration with internal Finance. Fully leverage CVS vendor partner capabilities to yield maximum results.
- Mentor the Executive Director of Claim and Reimbursement to ensure a comprehensive transition.
Required Qualifications
15 years of overall work experience in mainframe centric roles
10 years of Claim Adjudication or surrounding area experience
10 years of
- Excellent written and verbal communication skills particularly the ability to convey information in an accessible concise and clear manner.
- Experience with navigate complex multistakeholder client environment.
- Expertise with influencing and navigating a highly matrixed environment to drive new strategies.
- Experience leading and developing high performing teams.
- Expertise with proactively identifying and addressing potential issues evaluating alternative courses of action and making sound management decisions.
- Expertise with synthesizing vision into priorities and delivering on concurrent initiatives.
- Approaching challenges with a sense of urgency ability to work well under pressure and take direction.
Pay Range
The typical pay range for this role is:
$175100.00 $334750.00
This pay range represents the base hourly rate or base annual fulltime 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 shortterm incentive program in addition to the base pay range listed above. This position also includes an award target in the companys equity award program.
In addition to your compensation enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical dental and vision benefits. Eligible employees may enroll in the Companys 401(k) retirement savings plan and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fullypaid term life insurance plan to eligible employees and shortterm and long term disability benefits. CVS Health also offers numerous wellbeing programs education assistance free development courses a CVS store discount and discount programs with participating partners. As for time off Company employees enjoy Paid Time Off (PTO) or vacation pay as well as paid holidays throughout the calendar year. Number of paid holidays sick time and other time off are provided consistent with relevant state law and Company policies.
For more detailed information on available benefits please visit Benefits CVS Health
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal state and local laws.
Required Experience:
Director
Employment Type
Full-Time
