# Technical Delivery Lead - Utilization Management Innovation

**Company**: CVS Health
**Location**: Work At Home-Illinois
**Experience**: senior
**Job type**: full-time
**Salary**: $75,400.00 - $182,549.00
**Category**: Engineering
**Industry**: Healthcare

**Apply**: https://cvshealth.wd1.myworkdayjobs.com/en-US/CVS_Health_Careers/job/Work-At-Home-Illinois/Sr-Manager---Project-Program-Management_R1023505?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply
**Canonical**: https://yubhub.co/job/technical-delivery-lead-utilization-management-78a34781-78e/

## 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 colleagues who care deeply, innovate with purpose, hold themselves accountable and prioritize safety and quality in everything they do.

The UM Innovation Technical Delivery Team supports strategic initiatives for the Utilization Management (UM) Clinical Services organization. The team leverages advanced technologies such as artificial intelligence (AI), rules engines, predictive analytics, intelligent document processing, and automation solutions to streamline UM processes, improve operational efficiency, and enhance the experience of both providers and members.

As a Technical Delivery Lead, you will lead the delivery of technology solutions from concept through implementation. You will work closely with business stakeholders, architects, engineers, and program leadership to translate business needs into scalable solutions that deliver measurable value. Your responsibilities include:

- Leading the design, planning, pilot, and delivery of automation and technology solutions from concept through implementation

- Partnering with business stakeholders, product owners, architects, and engineering teams to translate business needs into scalable technical solutions

- Managing and prioritizing the product backlog, facilitating PI planning, sprint planning, backlog refinement, and other Agile ceremonies

- Driving cross-functional collaboration across business, operations, clinical, and technology teams to align requirements and achieve desired business outcomes

- Developing and maintaining project artifacts, including business requirements, process flows, outcome measurements, dashboards, roadmaps, and governance documentation

- Monitoring initiative progress, identifying and mitigating risks, resolving issues, and providing regular status updates and executive-level reporting

The ideal candidate has 8+ years of experience leading complex technology delivery, enterprise programs, product initiatives, or large-scale UM Innovation using AI/GenAI technologies. They should have a strong understanding of Software Development Life Cycle (SDLC), Agile and SAFe methodologies, release management, quality assurance, testing, and deployment practices.

In terms of technical skills, the ideal candidate should have experience with:

- Modern application architecture, including .NET and Java based ecosystems, microservices, APIs, and distributed systems

- RESTful APIs, JSON, OpenAPI/Swagger specifications, and API lifecycle management

- API testing and validation tools such as Postman

- API Gateway technologies, microservices patterns, event-driven architecture, and messaging frameworks

- Enterprise integration design and best practices for connecting complex business and technology ecosystems

- Healthcare interoperability and integration standards, including FHIR, HL7, and Documentation Requirements Lookup Service (DTR)

- Healthcare EDI transactions, including 278, 837, 835, and 270/271 transaction sets

- Decision management concepts, including Decision Tables, Decision Trees, Business Rule Authoring and Automated Decision Services

- IBM Operational Decision Manager (ODM) or comparable rules engine and decision automation platforms

The typical pay range for this role is $75,400.00 - $182,549.00 per year. This position is eligible for a comprehensive benefits package, including medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources.

For more fresh new jobs, check out [yubhub.co](https://yubhub.co/).

## Skills

### Required
- Artificial Intelligence
- Agile Methodologies
- API Management
- Cloud Computing
- Decision Management
- EDI Transactions
- Healthcare Interoperability
- Microservices
- Predictive Analytics
- RESTful APIs
- Rules Engines
- Software Development Life Cycle

### Nice to have
- SAFe Product Owner/Product Manager
- Agile Certifications
- Automation
- Case Management
- Digital Transformation
- Enterprise Automation
- IBM Operational Decision Manager
- Workflow Orchestration

---

Source: [Apply at cvshealth.wd1.myworkdayjobs.com](https://cvshealth.wd1.myworkdayjobs.com/en-US/CVS_Health_Careers/job/Work-At-Home-Illinois/Sr-Manager---Project-Program-Management_R1023505?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply)