Manager, Project Management - Medicare Reporting and Analytics

Location: Michigan

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.

Position Summary The Project Manager (PM) leads delivery of complex, data-driven initiatives supporting Medicare supplemental benefit programs and enterprise eligibility platforms.

This role operates at the intersection of business program requirements, data processing, and system integration, translating regulatory and business needs into scalable solutions that support member eligibility determination, enrollment processes, and downstream reporting.

The PM coordinates efforts across business, product, and technology teams to deliver solutions that:

Process and integrate multiple data sources (e.g., claims, clinical, enrollment, and external inputs)
Support eligibility determination and enrollment workflows

Generate standardized outputs for internal stakeholders and external partners

Maintain data integrity, traceability, and audit readiness in a regulated environment

The role also benefits from a working knowledge of enterprise data platforms (e.g., GCP/Big Query) and the ability to perform targeted data analysis to support requirements validation, issue triage, and operational decision-making.

This position requires a strong ability to navigate ambiguity, connect business intent to technical execution, and manage interdependencies across interconnected platforms, while ensuring alignment with CMS and enterprise standards.

Primary

Duties & Responsibilities What You'll DoLead end-to-end delivery of initiatives involving data processing, eligibility and enrollment workflows, and reporting solutions

Partner with business and technical teams to translate requirements into structured plans, functional requirements, and testable deliverables

Drive coordination across teams to ensure successful implementation and a smooth transition to operations

Drive User Acceptance Testing (UAT) to validate system behavior, data outputs, and operational readiness

Lead data validation and reconciliation activities to ensure consistency across source systems and downstream platforms

Perform or support targeted data analysis using SQL or similar tools to validate requirements, investigate issues, and support operational decision-making

Support implementation and production readiness, including transition to operations, issue triage, and post-release monitoring

Ensure documentation, processes, and deliverables meet regulatory, compliance, and quality standards

Act as the central point of coordination across stakeholders, managing scope, risks, dependencies, and delivery timelines

Identify and drive improvements to data quality, workflow efficiency, and delivery practices

Promote Agile and hybrid methodologies where applicable

Identify opportunities to streamline operations, improve data quality, and enhance automation

What You'll Bring5+ years of experience managing cross-functional projects in complex, matrixed environments

Strong ability to collaborate across business and technical teams and drive alignment among diverse stakeholders

Demonstrated ability to operate effectively in ambiguous environments, connecting disparate inputs to form clear, actionable plans

Excellent communication skills, with the ability to provide clear and concise updates to both team members and leadership

Proven track record of problem-solving, particularly in resolving data discrepancies and system-related issues

Proficiency with Microsoft O365 tools (Excel, PowerPoint, Project) and collaboration platforms (Teams, Jira, etc.)Strong organizational skills and attention to detail, with a focus on delivering high-quality, audit-ready outputs

Working knowledge of SQL and data querying concepts, with the ability to analyze datasets to support validation, testing, and issue investigation

Preferred Qualifications Experience in healthcare, insurance, or other regulated industries

Experience with S19, SSBCI, or Medicare compliance programs

Experience working with GCP, Oracle, and SQL Server databases

Ability to write or modify SQL queries to support analysis, validation, and troubleshooting

Experience supporting CMS audit readiness and regulatory compliance initiatives

Experience with data reconciliation, UAT coordination, and production support processes

Education

Bachelor's degree in Business, Information Systems, Healthcare, or a related field (or equivalent experience)
Anticipated Weekly Hours
40

Time Type Full time

Pay Range The typical pay range for this role is:$54,300.00 - $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…