Senior Manager, Encounter Program Operations

CVS HealthScottsdale, TN
$75,400 - $165,954Hybrid

About The Position

The Senior Manager, Encounter Informatics leads five equally weighted functions for the encounter-processing portfolio: product ownership and delivery, testing and quality assurance, tactical reporting, data integrity, and market performance support. This leader converts enterprise, regulatory, customer, and operational needs into integrated roadmaps, test strategies, reporting solutions, data controls, and market action plans. The role directs cross-functional execution, develops talent, and is accountable for compliant delivery, reliable data, actionable insights, and measurable market outcomes.

Requirements

  • 7 or more years of healthcare experience
  • 5+ years People leadership: Builds accountable, high-performing teams through coaching, feedback, and talent development.
  • 8 or more years of experience in product ownership, product management, project or program management, business analysis, technology delivery, or a related field.
  • 3 or more years leading complex enterprise initiatives, multiple Agile teams, a product portfolio, or product and delivery professionals.
  • Advanced knowledge of Agile, Scrum, and SAFe practices; experience with Rally, Jira, Azure DevOps, or a comparable platform.
  • Demonstrated success leading product strategy and backlogs, end-to-end testing, tactical reporting, data-integrity controls, market performance support, releases, and organizational change.
  • Prior experience supporting Medicaid and Medicare programs, including healthcare payer operations, encounter data, or regulatory reporting.
  • Strong executive presence with the ability to influence senior stakeholders, resolve competing priorities, and communicate complex topics clearly.
  • Bachelor’s degree in a related field or an equivalent combination of education and relevant experience.

Nice To Haves

  • SAFe Product Owner/Product Manager, Certified Scrum Product Owner, Project Management Professional, or comparable certification.
  • Healthcare payer, claims, encounter data, consumer analytics, or regulated healthcare technology experience.
  • Knowledge of encounter intake, validation, submission, reconciliation, data quality, and regulatory reporting.
  • Experience leading professional staff and managing vendor-supported platforms or integrations in a matrixed environment.
  • Master’s degree preferred.

Responsibilities

  • Set product vision, strategy, roadmap, backlog, release plans, and outcome measures; balance value, risk, capacity, dependencies, and technical constraints.
  • Direct functional, regression, integration, user acceptance, production-validation, and post-implementation testing, including traceability, acceptance criteria, and defect governance.
  • Ensure timely, accurate, actionable operational and leadership reporting that supports issue management, regulatory commitments, and performance decisions.
  • Lead data-quality controls, validation, reconciliation, monitoring, issue resolution, and remediation to ensure encounter data is complete, accurate, timely, traceable, and compliant.
  • Partner with market leaders to monitor results, identify root causes, coordinate response plans, and deliver sustained improvement in encounter outcomes.
  • Translate business, market, customer, and regulatory needs into capabilities, test scenarios, reporting requirements, data rules, acceptance criteria, and measurable outcomes.
  • Lead portfolio governance, program increment and release planning, implementation readiness, production stabilization, risk mitigation, and corrective action.
  • Establish balanced performance measures across delivery, testing, reporting, data quality, and market outcomes; provide concise executive and tactical updates.
  • Align senior leaders, markets, operations, technology, engineering, architecture, quality, analytics, compliance, vendors, and end users to accelerate decisions and resolve barriers.
  • Coach and develop Product Owners, project managers, analysts, testers, reporting professionals, and cross-functional partners; reinforce accountability, adoption, and continuous improvement.

Benefits

  • medical
  • dental
  • vision coverage
  • paid time off
  • retirement savings options
  • wellness programs
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