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IT Development Manager - RxClaim Adjudication

at CVS Health

Posted: 10/27/2020
Job Reference #: 1274487BR

Job Description

Job Description
The IT Development Manager position exists to successfully execute projects / initiatives in an information technology (IT) department. You will coordinate team or group activities with CVS Health and vendor staff resources. You will provide guidance and direction to project teams and direct repartees on planning and execution of projects, technical and functional standards and practice, process and procedures, and career development. You will participates in annual budgeting, capital processes and quality improvement activities for the organization.

Development and Delivery Management

* You will manage assigned functional areas through detailed planning of projects, resources and skillset mapping.
* You will ensure resources are planned according to the functional and technical skillset required for the project delivery.
* You will successfully deliver all projects and programs without compromising quality, budget, scope and schedule.
* You will meet scheduled milestones to ensure projects / programs objectives are met in a timely manner.
* You should have a deep understanding, follow and provide guidance to project teams and resources on principles, practices and techniques followed within the application area and organization.
* You will contribute to IT project planning for one or more business areas; review progress toward plan regularly with clients and make modifications, as necessary; provide quantitative cost/benefit analysis; ensure team is following work, documentation, certification, and audit requirements, as needed
Resource Management

* You will set yearly goals focusing on career development. Discuss and layout plan of action to achieve goals and expectations.
* You will perform periodic assessment of CVS and vendor resources.
* Provide formal and informal feedback to address gaps in performance (functional, technical and soft skills).
* You will perform mid-year and year end assessment.
* Provide comprehensive feedback on strengths and development areas Oversee, review and take action on time sheets for CVS and vendor resource to ensure compliance.
* You will actively participate in recruitment and selection processes for both CVS and vendor candidates; as well as lead onsite and offshore vendor relationships.
* Commitment to ensuring teams adheres to the highest degree of integrity and Code of Conduct standards
Customer Relationship Management

* You will consult with business and IT stakeholders during execution of projects to ensure business and IT expectations are being met.
* You will address any challenge or road block to accomplish project goals and expectations.
* You will identify and develop services and service level agreements (SLAs); educate senior leaders on service related information and continually improve related processes

Required Qualifications
* 8+ years of Information Technology experience including leadership and development management experience in core development and delivery areas
* 2+ years leading large or multiple application teams to deliver projects and initiatives effectively
* 8+ years deep knowledge of information technology principles, development methodologies and knowledge of platforms / applications or software products
* 2+ years mentoring and supervising full time employees work and career development; as well as onsite and offshore vendor relationships
* 4+ years experience in handling customer expectations and relationship building

Preferred Qualifications
* AS400 or Mainframe experience
?? Pharmacy Benefit Management and Healthcare industry experience a plus
* Claim processing and adjudication knowledge a plus
* Determination to enhance quality and save cost as part of continuous process improvements

Education
Bachelor's degree, preferably in Computer Science, or related field, or equivalent work experience required, with two additional year of experience required for each year of college not attained

Business Overview
At CVS Health, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.

We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, sex/gender, sexual orientation, gender identity or expression, age, disability or protected veteran status or on any other basis or characteristic prohibited by applicable federal, state, or local law. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!