Sr. Manager, Pricing Process Improvement

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

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.
• 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).

Required Qualifications

• 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.

Preferred Qualifications

• 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.

Education

• Bachelors degree OR equivalent experience.

***There are no Visa sponsorships available for this role***

Pay Range

The typical pay range for this role is:

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 offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

Additional details about available benefits are provided during the application process and on Benefits Moments.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.