Senior Manager, Product Implementation

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.Senior Manager of Product ImplementationPosition Summary

The Product Implementation Manager position is responsible for the implementation and the point of contact for benefit inquiries for Individual Medicare health products for downstream partners. There is an additional focus on quality assurance to confirm, from end-to-end, that what the product implements is supported by our product filings.Support and assist the annual Medicare bid filing processes.

• Participate and research new benefit ideas presented for consideration during the annual Operational Feasibility process.
• Ensure accuracy of benefit data in the annual bid submission, member materials, sales/marketing materials, customer service databases, and internal/external websites.

• Use project management skills and methodology to annually implement Medicare benefits
• Create and secure approval of the annual project plan that incorporates feedback and other area's timelines to implement the annual Medicare implementation.
• Create SOT Requirements that incudes benefit intent, operational approaches, administrative nuances for each new benefit and is updated as changes to benefits are approved.
• Coordinate SOT Requirement approval with Product Owners prior to implementation and prior to the New Benefits moving to the NextGen Production environment.
• Write, edit/review training documents for testing, implementation tools, administrative policies pertaining to new benefits, project plans and requirement documents.
• Coordinate and support the claim testing process and assist in the review and approval of testing outcomes.
• Coordinate and maintain the annual RASI document that supports implementation.
• Report progress and readiness for the AEP and the 1/1 effective date.

• Create and release project reporting using metrics and validation to confirm implemented benefits are delivering the benefit intent.
• Develop product recommendations based on findings of the reporting and validation programs.
• Joint administrative ownership of the Implementation Team's project QuickBase and SharePoint sites.
• Research and respond to administrative questions for benefit; inquiries and escalations.
• Review and approval of NextGen Product and Benefit Team's Business Requirement Document (BRD)
• Review and consult on Service Now claim production issues (SNOW Tickets)

• 4+ years related cross-functional, project management experience including product implementation
• 4+ years Medicare Advantage in any area such as product, claims, clinical, operations, implementation
• Understanding the six sigma methodology

• Intermediate knowledge of company's core functions i.e., claim progressing, provider billing,
• benefit configuration, ID Cards, provider set up, etc.
• Prefer Six Sigma Certification i.e., Lean or Green Belt

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.