Manager, CAM Business Integration & Readiness

We're building a world of health around every individual , shaping a more connected, convenient and compassionate health experience.

The Claims Assist Manager (CAM) team is seeking a Manager, CAM Business Integration & Readiness, to support the implementation and operational integration of CAM capabilities across multiple lines of business.

Responsibilities

• Support implementation and operational integration activities across Commercial, Medicare, and Medicaid claims operations
• Partner with senior leaders and operational leaders to align priorities, timelines, dependencies, and resource needs
• Coordinate cross-functional collaboration across operations, product, technology, analytics, training, and other business partners to support successful execution
• Identify and coordinate business SMEs to support discovery, requirements validation, testing, implementation, and rollout activities
• Facilitate working sessions to gather operational insights, define business needs, validate workflow impacts, and support business decision-making
• Ensure frontline operational feedback is incorporated into capability enhancements and future roadmap discussions
• Support consistent processes for intake, prioritization, issue resolution, and business decision-making
• Support business UAT strategies, plans, and execution activities
• Coordinate tester participation across lines of business and stakeholder groups
• Track testing progress, defects, business decisions, and sign-off activities
• Partner with technology teams to resolve defects, assess operational impact, and support release execution
• Help ensure business validation is completed before production release
• Support communication, training, and change activities associated with CAM releases as part of successful implementation
• Track operational risks, adoption barriers, and improvement opportunities following release
• Partner with leaders to support sustained utilization, operational integration, and value realization
• Support governance forums, working groups, and leadership reviews
• Monitor and track risks, issues, decisions, and action items
• Maintain documentation related to approvals, testing outcomes, business impacts, and deployment activities
• Help ensure implementations align with business, compliance, and operational requirements
• Contribute to governance processes that support scalable, controlled CAM growth

Requirements

• 5+ years of experience in healthcare operations, claims, program management, process improvement, or related functions
• Demonstrated experience coordinating cross-functional initiatives involving multiple stakeholders
• Experience supporting implementation, testing, operational integration, or business execution efforts
• Strong facilitation, communication, and stakeholder management skills
• Strong organizational, problem-solving, and execution skills
• Ability to manage multiple concurrent workstreams in a fast-paced environment
• Proficiency with Microsoft Office Suite and collaboration tools

Preferred Qualifications

• ACAS experience preferred
• Health claims processing experience within Commercial, Medicare, or Medicaid environments
• Experience supporting automation, AI-enabled solutions, workflow modernization, or digital transformation initiatives
• Experience coordinating large-scale UAT and production implementations
• Knowledge of change management and adoption strategies in support of implementation success
• Familiarity with governance, compliance, and operational risk management practices

Education

• Bachelor’s degree or equivalent work experience preferred

Anticipated Weekly Hours

• 40

Time Type

• Full time

Pay Range

• $54,300.00 - $159,120.00