About the position
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. Caremark, the nation's leading pharmacy benefit manager (PBM), is dedicated to making the journey to better health affordable, accessible, and straightforward for our 103 million plan members. We provide personalized support to help individuals start and stay on their medications, as adherence leads to better health outcomes and reduced healthcare costs. We are seeking a Lead Director of Quality Engineering to join our expanding Center of Excellence. This role requires a dynamic leader with extensive experience in PBM/Healthcare testing, test automation, and quality engineering. You will be responsible for leading and managing a team of quality assurance engineers, analysts, and developers to implement and maintain effective testing processes, procedures, strategies, and automation tools for delivering high-quality benefit and clinical changes to our clients.
Responsibilities
- Oversee the quality engineering of Pharmacy Plan Design Setup using Certification testing, ensuring that both Client and Member Experiences meet or exceed expectations through the use of test automation tools.
- Define and maintain a robust testing automation framework for Certification testing, driving the adoption and optimization of automation tools and implementing innovative approaches using proven technologies.
- Mentor and motivate team members to reach their full potential while promoting industry best practices in Quality Engineering and Reporting.
- Deliver comprehensive quality reports on Certification testing outcome statistics, making informed recommendations and taking appropriate actions.
- Build a high-performing team by providing opportunities, guidance, and constructive feedback, while creating a talent pipeline for future growth.
- Set team direction, resolve challenges, and provide technical support to ensure development objectives are met.
- Support CVS Health in attracting, retaining, and engaging a diverse, consumer-centric workforce that reflects the communities we serve.
Requirements
- 7+ years of experience leading and managing quality engineering, data analytics projects.
- 7+ years of experience in plan management, claims adjudication systems, quality engineering, or related functions.
- 7+ years of experience in managing, collecting, and analyzing testing metrics for reporting and delivery.
Nice-to-haves
- Proven program and project management experience, including the creation and management of integrated plans to ensure predictable outcomes.
- Progressive leadership experience managing large or multiple teams, with budget and capital management responsibilities.
- Strong client relationship management skills.
- Experience leading large integrated project plans and driving IT development to meet specific business needs.
- A demonstrated commitment to diversity, equity, and inclusion through continuous development, modeling inclusive behaviors, and proactively managing bias.
- Familiarity with tools and applications used in Plan Design validation, such as RxClaim, or other industry leading claims adjudication platforms SFDC, Tableau, and advancements in core PBM and clinical functionality (e.g., AI for adjudication, RPA for automation).
Benefits
- 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.
