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Senior Manager, Medicare Product Implementation
Senior Manager, Medicare Product Implementation-January 2024
Work From Hom
Jan 30, 2025
ABOUT CVS HEALTH
CVS Health is a healthcare innovation company. Together, we are helping people on their path to better health.
10,000+ employees
Healthcare
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About Senior Manager, Medicare Product Implementation

  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 experiencePay Range

  The typical pay range for this role is:

  $67,900.00 - $149,300.00

  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

  CVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated.

  You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.

  CVS Health is committed to recruiting, hiring, developing, advancing, and retaining individuals with disabilities. As such, we strive to provide equal access to the benefits and privileges of employment, including the provision of a reasonable accommodation to perform essential job functions. CVS Health can provide a request for a reasonable accommodation, including a qualified interpreter, written information in other formats, translation or other services through [email protected] If you have a speech or hearing disability, please call 7-1-1 to utilize Telecommunications Relay Services (TRS). We will make every effort to respond to your request within 48 business hours and do everything we can to work towards a solution.

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