Manager, CAM Business Operations Lead
About The Position
The Claims Assist Manager (CAM) team is seeking a Manager, CAM Business Integration & Readiness, to support implementation and operational integration of CAM capabilities across Commercial, Medicare, and Medicaid lines of business. The role serves as a liaison across Operations, Product, Technology, and business leadership, helping translate new capabilities into business processes and ensuring they are implemented effectively and sustained in day-to-day operations. The manager coordinates cross-functional execution, partners with business subject matter experts, supports testing and implementation, and aligns stakeholders on dependencies, timelines, and operational impacts. The role works closely with CAM senior leaders and cross-functional partners to translate strategic priorities into business execution and operational outcomes.
Requirements
- 5+ years of experience in healthcare operations, claims, program management, process improvement, or related functions.
- Demonstrated experience coordinating cross-functional initiatives involving multiple stakeholders.
- Experience supporting implementation, testing, operational integration, or business execution efforts.
- Strong facilitation, communication, and stakeholder management skills.
- Strong organizational, problem-solving, and execution skills.
- Ability to manage multiple concurrent workstreams in a fast-paced environment.
- Proficiency with Microsoft Office Suite and collaboration tools.
Nice To Haves
- ACAS experience.
- Health claims processing experience within Commercial, Medicare, or Medicaid environments.
- Experience supporting automation, AI-enabled solutions, workflow modernization, or digital transformation initiatives.
- Experience coordinating large-scale UAT and production implementations.
- Knowledge of change management and adoption strategies in support of implementation success.
- Familiarity with governance, compliance, and operational risk management practices.
- Bachelor’s degree or equivalent work experience.
Responsibilities
- Support implementation and operational integration activities across Commercial, Medicare, and Medicaid claims operations.
- Partner with senior and operational leaders to align priorities, timelines, dependencies, and resource needs.
- Coordinate collaboration across operations, product, technology, analytics, training, and other business partners.
- Identify and coordinate business subject matter experts for discovery, requirements validation, testing, implementation, and rollout.
- Facilitate working sessions to gather operational insights, define business needs, validate workflow impacts, and support business decisions.
- Incorporate frontline operational feedback into capability enhancements and future roadmap discussions.
- Support consistent processes for intake, prioritization, issue resolution, and business decision-making.
- Support business UAT strategies, plans, and execution activities; coordinate tester participation across lines of business and stakeholder groups.
- Track testing progress, defects, business decisions, and sign-off activities.
- Partner with technology teams to resolve defects, assess operational impact, and support release execution.
- Help ensure business validation is completed before production release.
- Support communication, training, and change activities associated with CAM releases.
- Track operational risks, adoption barriers, and improvement opportunities following releases.
- Partner with leaders to support sustained utilization, operational integration, and value realization.
- Support governance forums, working groups, and leadership reviews; monitor and track risks, issues, decisions, and action items.
- Maintain documentation related to approvals, testing outcomes, business impacts, and deployment activities.
- Help ensure implementations align with business, compliance, and operational requirements.
- Contribute to governance processes that support scalable, controlled CAM growth.
Benefits
- Medical coverage
- Dental coverage
- Vision coverage
- Paid time off
- Retirement savings options
- Wellness programs
- Other resources to support physical, emotional, and financial well-being, based on eligibility
- Eligible for a CVS Health bonus, commission, or short-term incentive program
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What This Job Offers
Job Type
Full-time
Career Level
Manager
Education Level
No Education Listed
