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At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

* Applicants can live anywhere in the United States*

Position Summary

The Sr. Manager of the UM Centers of Excellence (COE) is a contributor to successfully managing critical projects assigned to the UM COE that solve business challenges and support the development of new sources of value within Aetna’s Clinical Solutions business unit.

+ Evaluates, designs, and implements new regulatory and/or business initiatives for Utilization Management from initiation through completion.

+ Partners cross-functionally to identify business needs and develop solutions and tactics to drive process improvement.

+ Secures required resources and uses formal processes and tools to manage those resources, budgets, risks and changes.

+ Manages projects to ensure on-time completion according to specifications and within budgeted costs.

+ Tracks progress against key milestones and creates and implements value-based metrics and analysis to measure outcomes.

+ Contribute to a motivated work environment by working collaboratively and effectively with key stakeholders across Health Care Business and Aetna Clinical Solutions to achieve common goals.

+ Foster a culture that accelerates our strategy through our Heart At Work Behaviors by keeping the customer and colleague as the central focus

Required Qualifications

+ 7+ years of experience in healthcare in a role that involves strategic problem solving and/or new product development (e.g., consulting).

+ 7+ years of demonstrated organizational skills (e.g. project management experience or managing cross-team/department initiatives with demonstrated success).

+ Strong interpersonal and communication skills, effectively communicate key messages to executive leaders and internal/external stake holders.

+ Strong verbal and written communication skills; proven ability to deliver presentations to senior leadership team members.

+ Strong data and analytics skills to include modeling, synthesizing information and deriving key insights.

+ Strong understanding within clinical and health plan operations and value creation methodologies including Utilization and Policy Management, Care Management and Coordination, Quality, Compliance and Regulatory Management.

+ Successful experience in strategy, innovation and/or portfolio management within healthcare industry.

+ High ability to consistently produce and create value and meet/exceed committed performance.

+ Effectively lead and motivate teams to ensure high standards of performance and outcomes.

Preferred Qualifications

+ Demonstrated relationship management skills at the senior level; capacity to quickly build and maintain credible relationships at varying levels of the organization simultaneously.

+ Demonstrated leadership with relevant initiatives: Business process, enterprise business project strategic planning and analysis, risk management, public health, process improvement (e.g., Lean Six Sigma certification) management/consulting.

+ Demonstrated superior business process, project management.

+ Demonstrated experience successfully implementing change in complex organizations.

+ Experience with enterprise-wide and/or cross-functional large scale initiatives with high degree of complexity.

Education

Bachelor's Degree or equivalent work experience

Master's Degree preferred

Pay Range

The typical pay range for this role is:

$67,900.00 - $182,549.00

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 our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

+ **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** .

+ **No-cost programs for all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.

+ **Benefit solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

For more information, visit https://jobs.cvshealth.com/us/en/benefits

We anticipate the application window for this opening will close on: 10/24/2025

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

We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.