Sr. Manager, Pricing Process Improvement

CVS Health

About The Position

CVS Health has an exciting opportunity to join our Client and Networks Pricing (CNP) team as a Senior Manager of Pricing Process Improvement. This role will lead high-impact quality improvement initiatives that support the strategic direction of the CNP organization. The core of this role is to uncover actionable insights from price guarantee quality and error data—identifying trends, drivers, and root causes—and then lead cross-functional efforts to implement, track, and sustain improvements. This position will leverage multiple data sources to consolidate error insights, identify trends, and prioritize issues for root cause investigation and corrective action. The ideal candidate is curious by nature, comfortable working with data, and enjoys problem solving in a fast-paced and highly collaborative environment. Work closely with the Executive Director to influence stakeholders outside of CNP to improve quality and drive sustained performance improvement.

Requirements

7+ years of relevant experience in pricing, PBM/healthcare operations, process improvement, quality, analytics, or related domains
5+ years leading cross-functional process/quality improvement efforts with measurable outcomes (influence without authority)
Lean Six Sigma Black Belt or higher certification.
Bachelors degree OR equivalent experience.

Nice To Haves

Lean Six Sigma Master Black Belt certification.
Experience in highly regulated industry and compliance environment.
Experience with highly complex, inter-connected systems and business processes.
Experience working in a matrix environment.
Advanced Statistics / Data Analysis experience.
LEAN certification.
PMP certification.

Responsibilities

Leads process improvement (PI) opportunities with relevant deliverables: process maps, baseline performance metrics, root cause analysis, recommended actions, and control plans.
Identify, consolidate, and analyze error data from multiple sources to surface trends and insights; prioritize issues for root cause analysis and corrective action.
Track and facilitate execution of quality improvement efforts, including corrective and preventive actions, ensuring actions are owned, progressing, and validated for effectiveness.
Build and maintain a CNP quality scorecard to establish an initial quality baseline and track progress over time; provide ongoing trend analysis and reporting specific to price guarantees.
Participate in strategic and lead targeted assessments and support relevant deliverables: framing, data collection, analysis / interpretation and recommendations / report-out.
Utilize DMAIC, LEAN, 8D and other relevant methodologies in delivery of results.
Ability to act as an improvement / change agent, supporting efforts from identification through delivery and validation of results.
Develop project charters in conjunction with Subject Matter Experts (SME's) and stakeholders, edit and gain approval on updates to approved charters as required.
Document current and target state processes using Supplier, Input, Process, Output, Customer (SIPOC), flow charts and value-stream mapping (VSM) tools.
Use Pareto diagrams, 5 Why's, time-series, process control charts and inferential statistics to support opportunity definition, root cause analysis and validate result(s).
Use a RAID (risks, issues, actions, decisions) log to effectively identify, track, resolve and escalate items (as required) to keep project(s) moving forward in a timely fashion.
Interaction’s style: 50% manager / driver of results, 50% leading / influencing the thinking, actions, and development of others.
Working knowledge of MS Office, Project, Visio and Minitab, ability to perform data analysis and develop presentations tailored to both project teams (working package) and stakeholders (key updates package).