{"id":1963069,"url":"https://alion.io/job/cvs-health-operations-lead-dual-program-management","title":"Operations Lead, DUAL Program Management","company":{"id":4223,"name":"CVS Health","domain":"cvshealth.com","url":"https://alion.io/company/cvshealth","size_band":"5000+","is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Workday","truth_index":null},"role":"Operations","role_family":"Operations","seniority":"lead","employment_type":"full_time","work_mode":"hybrid","remote_scope":null,"remote_scope_basis":null,"remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["Hartford, United States"],"countries":["US"],"hiring_countries":[],"hiring_countries_total":0,"salary":{"min":75400,"max":199144,"currency":"USD","period":"year","gross":null,"usd_annual":199144},"salary_estimate":null,"experience_years_min":5,"visa_sponsorship":false,"relocation_package":false,"has_equity":true,"technologies":[{"name":"Microsoft Excel","optional":false}],"status":"live","first_seen_at":"2026-10-06T16:23:21Z","employer_posted_date":"2026-10-06","last_verified_at":"2026-10-21T06:58:38Z","board_verified":true,"closed_at":null,"days_open":14,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":14},"description":"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.\nPosition Summary\nUnder the direction of the Lead Director, Health Plan Market Operations, the Operations Lead is responsible for overseeing day-to-day health plan operations, ensuring operational readiness, regulatory compliance, and effective execution of strategic initiatives across Integrated Plans. This role serves as the primary liaison between market leadership, enterprise partners, shared services teams, and regulatory stakeholders to ensure operational excellence and successful member outcomes.\nThe Operations Lead provides oversight of critical operational functions, monitors performance and compliance, identifies and mitigates operational risks, drives issue resolution, and ensures alignment between strategic priorities and daily execution. This role requires strong leadership, cross-functional collaboration, and the ability to influence outcomes across multiple organizational areas.\nWhat You Will Do\nProvide operational oversight and coordination across health plan functional areas to support efficient and compliant service delivery.\nLead cross-functional efforts to identify, prioritize, and resolve operational issues affecting members, providers, regulators, and business partners.\nEstablish and maintain operational readiness processes for annual implementation activities, including product launches, benefit changes, regulatory requirements, and market expansions.\nMonitor operational performance, service levels, regulatory requirements, and business outcomes, escalating risks and developing remediation strategies as needed.\nDevelop and maintain operational workplans, readiness trackers, risk logs, and reporting tools to support leadership visibility and accountability.\nDrive issue management processes, facilitating cross-functional discussions to identify root causes, implement corrective actions, and prevent future operational impacts.\nPartner with enterprise shared services teams, including claims, enrollment, member services, care management, provider services, and compliance, to ensure seamless operational execution.\nSupport state, CMS, NCQA, and internal audit activities through coordination of documentation, evidence collection, remediation planning, and progress reporting.\nMonitor regulatory changes and contract requirements to ensure timely operational implementation and ongoing compliance.\nDevelop executive-level reporting and presentations that communicate operational performance, readiness status, risks, issues, and mitigation plans. Act as a trusted operational subject matter expert and primary point of contact for internal and stakeholders regarding Integrated Plan operations.\nSupport financial remediation efforts by identifying operational drivers of financial performance and partnering with business owners to implement corrective actions. Maintain strong relationships with market leaders, executive leadership, enterprise partners, regulators, and community stakeholders to support business objectives and member outcomes. Provide operational leadership during critical incidents, readiness events, and regulatory escalations, coordinating action plans and ensuring timely resolution.\nSupport additional Health Plan Market Operations activities and provide cross-functional support as business needs require.\nRequired Qualifications\n7+ years of healthcare operations, managed care, health plan administration, regulatory compliance, or related experience.\n5+ years of experience leading cross-functional operational initiatives and driving organizational outcomes.\nExperience supporting Dual Eligible Special Needs Plans (D-SNP), FIDE, HIDE, MLTSS\nStrong knowledge of CMS, state regulatory requirements, health plan operations, and audit readiness processes.\nExperience developing executive-level reports, presentations, and operational performance dashboards.\nDemonstrated ability to influence stakeholders and drive issue resolution without direct authority.\nExperience leading operational readiness, implementation, or transformation initiatives.\nStrong analytical, problem-solving, and decision-making skills.\nExcellent verbal, written, and presentation communication skills.\nAdvanced proficiency in Microsoft Excel, PowerPoint, and data analysis tools\nBachelor's degree in Business Administration, Healthcare Administration, Public Health, Operations Management, or related field, or equivalent combination of education and experience.\nPay Range\nThe typical pay range for this role is:\n$75,400.00 - $199,144.00This 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. \nOur 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.\nGreat benefits for great people\nWe take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.\nThis full-time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.Additional details about available benefits are provided during the application process and on Benefits Moments.\nWe anticipate the application window for this opening will close on: 10/12/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.","description_format":"text","description_chars":6522,"description_truncated":false,"requirements":{"experience_years_min":5,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":{"level":"bachelor","optional":false},"security_clearance":false,"languages":[]},"benefits":["Equity","Wellness"],"hiring_locations":[{"name":"United States","iso":"US","kind":"country"}],"hiring_excludes":[],"relocation_offered":false,"industries":["Health Care","Primary Care & Medical Centers","Pharmacies","Health Insurance & Benefits"],"lifecycle":[{"event":"open","at":"2026-10-06T16:23:21Z"}],"visa":[],"liveness":{"score":16,"band":"cold","label":"Long shot","p_open":1,"p_active":0.45,"p_room":0.35,"age_days":14,"expected_fill_days":4,"reasons":["conf:0","velocity","win:tail","comp:brand"],"computed_at":"2026-10-21T05:46:15Z"},"pay":{"stated_usd_annual":199144,"is_top_pay":true},"html_url":"https://alion.io/job/cvs-health-operations-lead-dual-program-management","json_url":"https://alion.io/job/cvs-health-operations-lead-dual-program-management.json","meta":{"generated_at":"2026-10-21T08:17:35Z","cache_seconds":300,"methodology":"https://alion.io/methodology","terms":"https://alion.io/terms","contact":"https://alion.io/contact","api":"https://alion.io/developers","about":"Alion is a live layer of people, companies and AI agents: who they are, whether they are real and active right now, what they do and how to work with them, readable by people and by agents and paid per call.","catalog":"https://alion.io/catalog.json","usage":{"tier":"crawler_verified","counted_by":"address","units_charged":1,"used_today":11753,"day_limit":null,"remaining_today":null,"minute_limit":300,"resets_at":"2026-10-22T00:00:00Z"}},"offers":[{"id":"company.slices","title":"One company in depth, by slice","status":"live","price":{"credits":0.02,"usd":0.002,"plus_per_slice":{"credits":0.05,"usd":0.005}},"unit":"per company, plus each slice with data","note":"the employer in depth","call":{"mcp_tool":"get_company","arguments":{"id":4223},"rest":"https://alion.io/mcp/rest/get_company?id=4223"},"human":"https://alion.io/catalog?offer=company.slices&for=job%2Fcvs-health-operations-lead-dual-program-management"},{"id":"market.stats","title":"A market slice: pay, demand and time to fill","status":"live","price":{"credits":1,"usd":0.1},"unit":"per slice","note":"pay, demand and time to fill for this role and place","call":{"mcp_tool":"market_stats"},"human":"https://alion.io/catalog?offer=market.stats&for=job%2Fcvs-health-operations-lead-dual-program-management"},{"id":"job.search","title":"Open jobs by role, technology, place, pay and visa","status":"live","price":{"credits":0.02,"usd":0.002},"unit":"per posting in a list","note":"similar open postings","call":{"mcp_tool":"search_jobs"},"human":"https://alion.io/catalog?offer=job.search&for=job%2Fcvs-health-operations-lead-dual-program-management"},{"id":"company.verify","title":"Is this company real and active right now","status":"pilot","price":null,"unit":"per company","request":{"url":"https://alion.io/catalog/request","method":"POST","body":"{\"offer\": \"company.verify\", \"for\": \"job/cvs-health-operations-lead-dual-program-management\", \"note\": \"what you need it for\"}"},"human":"https://alion.io/catalog?offer=company.verify&for=job%2Fcvs-health-operations-lead-dual-program-management"}]}