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Sr. Manager Medicare Strategy
Sr. Manager Medicare Strategy-April 2024
Hartford
Apr 10, 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 Sr. Manager Medicare Strategy

  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.

  Sr. Manager Medicare Strategy:

  Job Description:

  Supports the business by recommending appropriate actions, strategies and/or alternatives to meet business needs. Has responsibility for leading/managing various projects and programs such as planning, coordination, development, implementation including the financial implications while prioritizing work, resources, and time. Ensures the end state of the project and/or business operations meets business objective(s) and that all deliverables and due dates are met. Highly collaborative process often requires managing relationships across the segments or multiple functional areas. Assist in building quality measure strategy roadmap.

  Primary Job Duties & Responsibilities:

  Assisting Executive Director, Medicare Strategy to make business decisions based on the results of research and data analysis.

  Support projects/ programs with cross functional teams, assist business units in integrating quality into their strategic and operational plans.

  Analyze, design, develop and implement solutions that enhance individual and population health outcomes.

  Develops materials to simplify communication of complex concepts and data, translating highly technical data into compelling, digestible visual storytelling aids

  Manages multiple simple and complex projects through to implementation, monitoring, and evaluation

  In partnership with business owners, supports design /development of new or enhanced products and services.

  Serves as a technical, professional and/or business Quality expert that may cross multiple business functions.

  Prior Relevant Work Experience:5+ years Business Operations experience3+ years with provider relations, networking or contracting experience5 years working with value based or population health programsKnowledge of value-based contractingProvider relations experienceHealth plan experienceEssential Qualifications, Essential Functions & Preferred Qualifications: Overall understanding of Medicare, Medicaid, Duals, IFP Quality and Health Plan Quality management experienceProgressive experience in operational quality management roles in the healthcare industry, regulatory environment and quality management.Competent problem-solving skills and ability to succeed in a deadline-driven environment.Effective communication and interpersonal skills and the ability to work cross-organization, cross-discipline, and across all levels of the organizationAbility to drive clarity out of complex technical information, identify and solve for blockers, and effective collaboration skills to keep projects moving forwardDemonstrated experience building visual presentations, reports, and various types of communicationTranslates knowledge of subject and business needs into clear strategic business plans.Background in clinical data exchange and informaticsBackground Experience DesiredWorking with providers to exchange clinical dataKnowledge of structured data files CCD/CCDA/ADT/FHIRKnowledge of NCQA and or HEDIS, STAR's programsStrong Decision making, analytical and organizational skillsMultiple years proven leadership experience setting strategic direction and influencing change that resulted in quantifiable positive outcomes.Gather business requirements, share information on available data resources, assess stakeholder needsEducation:

  Bachelor's degree or equivalent experience Required

  Other Certification(s): CPHQ Preferred

  Pay Range

  The typical pay range for this role is:

  $79,200.00 - $170,800.00

  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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