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About the Role
Lead the future-state strategy for Commercial business product rule writing, defining how the organization modernizes the Rules function through AI, process redesign, and stronger product data governance. Drive a shift from operational rule execution to a strategic, scalable, and insight-driven model that improves efficiency, quality, compliance, and business agility.
Responsibilities
- Set the vision and strategic roadmap for the future of rule writing, aligning people, process, data, and technology.
- Lead the transformation of the Rules function from transactional execution to a more strategic, insight-driven capability.
- Help shape broader organizational strategy, priorities, and transformation efforts as a key member of the leadership team.
- Represent the organization on multi-functional initiatives requiring creative problem solving, strategic thinking, and strong enterprise partnership.
- Act as a connector across business, operational, and technical teams to drive clarity, remove friction, and accelerate progress.
- Provide leadership, direction, and development for the Rules function.
- Build organizational capability in strategic thinking, process improvement, AI adoption, and modern rule-management practices.
- Lead change management, creating clarity around roles, priorities, and required capabilities for the future-state team.
- Foster a culture of innovation, accountability, partnership, and continuous improvement.
Requirements
- Strategic thinker and innovator who can see beyond current operations and define a compelling future state.
- Strong work ethic, self-starter, and highly productive in a dynamic and collaborative environment.
- 7-10 years demonstrated success leading strategic transformation, process redesign, or operating model evolution.
- Experience identifying and advancing AI, automation, or digital innovation opportunities in a business setting.
- A thought leader who can translate innovation into practical business value.
- Strong executive presence with the ability to influence leaders and cross-functional partners at multiple levels in a highly matrixed environment.
- Proven capability managing teams through change.
- Strong executive communication skills, including the ability to distill complex ideas into clear narratives, presentations, and leadership updates.
- Experience with Aetna Quoting Center (AQC) and Configure Price Quote (CPQ) applications.
- PMP Certification.
- Knowledge of medical and pharmacy benefits.
- Attention to detail.
Skills
- AI
- Process redesign
- Product data governance
- Strategic thinking
- Innovation
- Enterprise partnership
- Change management
- Executive communication
Work Type
- Full-time
Experience Level
- 7-10 years
Education Level
- Bachelor’s degree preferred or equivalent combination of education and relevant professional experience.
Salary/Compensations
- $100,000.00 - $231,540.00
- Eligible for CVS Health bonus, commission or short-term incentive program
- Includes an award target in the company’s equity award program
Benefits
- Medical coverage
- Dental coverage
- Vision coverage
- Paid time off
- Retirement savings options
- Wellness programs
About the Company
- 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.
Equal Opportunity
- Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.