Job 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.

The Aetna Better Health of West Virginia plan has a successful, 29+ year history of partnering with the state to provide West Virginia's Medicaid population with top notch health care coordination and service. The plan has also been chosen to provide care coordination to complex foster care children of the state.

Through a strong, localized team, an innovative care management model, and creative provider and community advocacy partnerships, Aetna Better Health of West Virginia has successfully assisted the state in achieving high quality standards and outcomes for the Medicaid population across the state.

The health plan truly embodies the commitment of West Virginians helping West Virginians. At Aetna Better Health of West Virginia, you can be the very best you can be, working with strong teams committed to helping our members and with opportunities for career growth. We will support you all the way!

The Project Operations Specialist is responsible for supporting the development, implementation and ongoing management of project(s).

Job Duties

• Performs data collection, analytical research, and root cause analysis.
• Identifies issues that may stall projects, addressing them within a timely manner.
• Edits and maintains project-related materials.
• Tracks and monitors progress against timeline and key milestones. May also track project-related financial expenditures.
• Actively participates in the development of communications materials on project status to all impacted parties.
• Actively participates in development of implementation plan to ensure all impacted parties (both up & downstream) are informed of next steps for completion.
• May assist with project logistics including agendas, meeting arrangements, and minutes.
• Performs other duties as assigned.

Required Qualifications

• 3+ years of experience in health insurance and medical claims.
• Resides in West Virginia.
• Willingness to work a hybrid schedule (3 days in-office) in the Charleston, WV office.
• 3+ years in general personal computer experience, including a demonstrated proficiency in personal computer, keyboard, mouse, multi-system navigation, and Microsoft Office Suite applications (Outlook, Word, Excel, Sharepoint, Teams, etc.).

Preferred Qualifications

• 3+ years of experience in Medicaid.
• Ability to communicate effectively with management and colleagues.
• Ability to successfully and consistently collaborate within relevant work teams.
• Strong verbal and written communication skills.
• Excellent organizational and time management skills.
• Proven track record meeting project dates and deadlines.
• Associate’s or Bachelor’s degree.

Education

• High school diploma or GED.

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$21.10 - $36.78

This 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.

Our 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.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This 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

We anticipate the application window for this opening will close on: 07/24/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.