Job Information

CVS Health Senior Manager, Medicare Product Implementation in Frankfort, Kentucky

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 SummaryThe Product Implementation Sr. Manager role is an integral part of our team that will be responsible for CMS Bid Submission, implementation, and ongoing operations of special supplemental benefits. This role will maintain a focus on benefit submission, program and project management, requirements gathering, quality assurance, issue research and resolution, and more.

This special supplemental benefits role will:

  • Be the general implementation and operations subject matter expert of their benefit or program

  • Understand and communicate CMS regulation changes impact to benefit design and system set up

  • Ensure all CMS bid submission activities are on time and accurate with respect to CMS requirements, corporate systems requirements, and strategic initiatives

  • Ensure accuracy of benefit data in bid submission, member materials, sales/marketing materials and internal/external websites

  • Prepare and maintain proper benefit documentation Stay in lock-step coordination with Strategy Innovation, Implementation PMs, vendors, as well as all operational support teams

  • Manage member and benefit issue research and resolution

  • Facilitate standing implementation and operations meetings with key stakeholders

  • Create and maintain project plans

  • Create and maintain program/benefit collaboration sites (i.e. MS Teams, SharePoint, etc.)

  • Set up and manage program/benefit reporting, as needed

  • Identify and help implement process improvements, as needed

  • Assist on stretch projects, as needed

Required Qualifications

  • 4+ years project/program management, including implementation, in a highly matrixed environment

  • 2+ years Medicare industry experience, specifically Medicare Advantage product experience

  • 1+ year(s) CMS Bid submission experience, including Plan Benefit Package (PBP) software setup, PBP entry and Health Plan Management System (HPMS) submission, Desk Review and NAMBA.

  • Highly organized and detail oriented with proof-reading and quality control skills

  • Strong interpersonal skills and the ability to work independently and in a team environment

  • Must demonstrate strong project management skills including: multi-tasking among competing priorities, enforcing deadlines, facilitating/coordinating meetings, creating and maintaining documentation, etc.

  • Strong written and verbal communication skills

  • Intermediate analytical skills

Preferred Qualifications

  • CMS Flexibilities – Value Based Insurance Design (VBID), Special Supplemental Benefits for the Chronically Ill (SSBCI) and Uniform Flexibility (UF)

Education

  • Bachelor's degree or 8 years of equivalent work experience

Pay Range

The typical pay range for this role is:

$67,900.00 - $166,000.00

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 jobs.CVSHealth.com/benefits

We anticipate the application window for this opening will close on: 06/23/2024

We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.