Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver.
Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.Position SummaryWe are seeking a Senior Manager, Medicare Business Consultant for the East Central (IN/KY/MI/OH) Medicare market, supporting the Lead Director, Medicare Operations and the AVP, Medicare General Manager through conceptual model design, initiative planning, product management, performance management, and monitoring of member experience. You will support high value initiatives of variable scale and complexity that impact the delivery of all Medicare products and services. You will be involved in the annual bid process and will be responsible for the accuracy of Medicare member materials and sales collateral. In this role you will work with other business units across the Medicare segment on a variety of projects including, but not limited to, identifying new product ideas, implementation, and ongoing operations of services, as well as troubleshooting complex issues.Additionally, the Senior Manager, Medicare Business Consultant will:
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- Drive or guide the development and implementation of comprehensive solutions and/or strategic plans to achieve the goals of the market, Medicare segment and the enterprise.
- Support successful market performance though engagement and collaboration with other business units including, but not limited to, Network, Clinical and Utilization Management, Finance, and Revenue Integrity.
- Identify opportunities for improvement; Influence change through negotiation, consultation and other actions that lead to improved performance.
- Gather, analyze, and synthesize business intelligence to drive achievement of the strategic business objectives.
- Provide guidance and collaborate with external and internal partners in support of initiatives.
- Share accountability for the return on investment of initiatives.
- Support coaching and assist in the development of matrixed staff by providing direction, oversight, and feedback on work assignments.
- Participate in outward facing events as needed.
- May be responsible for concurrent initiatives as a team lead and/or team member, based on resource requirements.
- 5 or more years of experience with Medicare, with an emphasis in Medicare operations, performance management, strategy, bid planning, and/or data analysis.
- Strong business acumen.
- Strong project management , program management, and organizational/time management skills.
- Effective communication skills with ability to clearly articulate information to a wide range of audiences, including senior leadership.
- Excellent problem-solving capabilities, taking a proactive approach to identifying potential areas of improvement.
- Proven experience working effectively on projects and initiatives with cross-functional teams involving a variety of stakeholders.
- Quality review experience with a commitment to ensuring accuracy and compliance.
- Ability to prioritize and handle multiple work tasks on an ongoing basis.
- Positive presence with an ability to inspire others.
- Collaboration and relationship management skills, with the capacity to quickly build and maintain credible relationships at varying levels of the organization.
- Occasional travel may be required.
EducationBachelor's degree or equivalent work experiencePay Range
The typical pay range for this role is:$67,900.00 - $165,954.00
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. This position also includes an award target in the company's equity award program.
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company's 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off ("PTO") or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.
For more detailed information on available benefits, please visit Benefits | CVS HealthWe anticipate the application window for this opening will close on: 03/10/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.