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AVP, Software Engineering - TPA & Payor Solutions ID - 9432

Job Details

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

The AVP - TPA & Payor Solutions Technology position will be responsible for the technology strategy and delivery for our Aetna's TPA and Payor business, including Meritain, American Health Holding, First Health, and Aetna Signature Administrators. This role will report directly to the VP of Aetna DDAT Commercial, Network, and Provider.

As a senior leader, you will work collaboratively across business and technology teams to develop strategies that transform, disrupt, and enable our business. You will dive deep into the technical and business details of this domain, ensuring a focused strategy and delivery. This is a technical leadership role

Primary Job Responsibilities:
  • Operational Leadership: Lead the organization end-to-end, ensuring alignment between business and technology, and delivering on shared outcomes.
  • Business Partnership: Develop business-aligned technology strategies focused on disrupting and transforming the portfolio.
  • Strategic Development: Create a North Star strategy for the portfolio and align people, process and technology into an executable framework.
  • People Management: Strategically manage a staff of 350 resources while maintaining target ratios to achieve enterprise goals.
  • Program/Project Delivery: Manage a portfolio of investments in the $20-40M range, ensuring projects are executed on time, on budget, and with quality.
  • Industry Awareness: Stay updated on industry advancements, new business models, and prepare technology systems accordingly.
  • Operational Efficiencies: Optimize efficiencies through augmentation and automation brought by DevSecOps, increased test automation, simplified architectural designs, AI, etc
  • System Stability: Ensure stability of over 100 applications, manage production incidents, analyze and resolve root causes, and improve code and test quality towards a zero-incident target state.
  • Innovation and Delivery: Partner with third parties to maximize innovation and delivery.
  • Business Case Development: Develop business cases to drive innovation and disruption.
  • Product model: Drive the project to product transformation ensuring we are constantly evolving our services.

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Required Qualifications:
  • 15+ years of experience in technology leadership and delivery, with a track record of building and growing teams.
  • 5+ years of experience in healthcare, focusing on network, provider, and claim systems, with an understanding of both payor and provider perspectives.
  • Deep experience leading large-scale, globally distributed teams, and ensuring the health and stability of production operations.
  • Experience in financial management of large corporate portfolios and cost center expenses.
  • Technical expertise in triaging, understanding, and solving complex challenges across various technology stacks, enterprise integrations, and vendor platforms.
  • Familiarity with various delivery methodologies, including Scaled Agile (SAFE), Scrum Agile, and hybrid Agile/Waterfall models.
  • Experience in technology delivery within highly regulated sectors such as healthcare or financial industries.
  • Excellent communication and presentation skills, with the ability to distill complex topics into understandable information.
  • Ability to engage deeply with technology teams and explain complex problems and solutions to business partners and senior leaders.
  • Proven ability to establish and sustain professional relationships through close business partnerships.
  • Provide mentorship, coaching, and development to immediate leadership and extended teams.

Preferred Qualifications:
  • Experience leading digital enablement and transformative initiatives.
  • Experience optimizing and enhancing legacy systems with newer technology or practices.

Education:
  • Bachelor's Degree

Pay Range

The typical pay range for this role is:

$185,400.00 - $375,950.00

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 depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company's equity award program.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
  • Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
  • No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
  • Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
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