Manager, Medicare Business Consulting

CVS Health • Hartford, CT

1d

About The Position

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary We are looking for a motivated Manager, Medicare Business Consulting to join our Sales Enablement team. This role is ideal for someone with knowledge of the Medicare space; a genuine interest in technology and wants to grow into a well-rounded Business Analyst. You will work closely with business stakeholders to gather and document requirements, create Business Requirements Documents (BRDs), and collaborate with the IT team to detail and prioritize work based on effort and business needs. This is a cross-functional role that involves coordinating with departments such as Sales, Operations, Compliance, Marketing, and Technology as well as providing great exposure and learning opportunities across the organization.

Requirements

• 1–3 years of experience in a Business Analyst, Business Operations, or similar analytical role.
• 1+ year of exposure to or experience in the Medicare / health insurance space (Medicare Advantage, Medicare Supplement, Part D, or related products).
• Knowledge of the Medicare enrollment lifecycle — including lead management, sales processes, and compliance concepts (SOA, CMS marketing guidelines).
• Experience writing or contributing to business requirements documents, user stories, or process documentation.
• Some exposure to working across teams or departments in a collaborative setting.
• Familiarity with working alongside IT / Engineering teams on technology projects or enhancements.
• Familiarity with common tools such as Jira, Confluence, Microsoft Office (Excel, Word, PowerPoint, Visio), or similar.
• Knowledge of Agile/Scrum concepts (sprints, backlogs, user stories)

Nice To Haves

• Familiarity with SQL or Business Intelligence tools
• Project Management experience

Responsibilities

• Business Requirements & Documentation Work with business stakeholders across departments to gather, clarify, and document business requirements.
• Create Business Requirements Documents (BRDs) that capture functional and regulatory needs in a clear, organized format.
• Maintain a requirements repository to track and manage documented requirements.
• Participate in stakeholder meetings, interviews, and workshops to understand business needs.
• Create supporting artifacts such as process flow diagrams, user stories, and basic wireframes under guidance from senior team members.
• IT Collaboration & Requirement Detailing Collaborate with the IT / Engineering team to translate business requirements into detailed functional specifications.
• Attend Actively participate in solution design discussions to understand technical approaches and ensure alignment with business intent.
• Define acceptance criteria and creating basic test scenarios to validate delivered solutions.
• Support requirement walkthrough sessions with both business and technology teams.
• Serve as a point of contact between business users and IT for assigned projects and workstreams.
• Prioritization & Backlog Support Work with your manager and business leadership to prioritize requirements based on business value and implementation effort.
• Maintain a prioritized requirements backlog and support the use of simple prioritization techniques (e.g., high/medium/low, value-vs-effort matrix).
• Prepare effort-impact summaries and status updates for leadership review.
• Participate in sprint planning and backlog grooming sessions alongside the IT team.
• Cross-Functional Coordination Coordinate with teams across Sales, Operations, Compliance, Marketing, and IT to gather inputs and align on requirements.
• Build positive working relationships with stakeholders across departments.
• Track dependencies, action items, and follow-ups across cross-functional workstreams.
• Communicate updates, meeting notes, and requirement statuses to relevant stakeholders.
• Escalate conflicts or blockers to your manager in a timely manner.
• Medicare Domain Knowledge Apply foundational knowledge of Medicare (Medicare Advantage, Medicare Supplement, Part D) to understand business context and requirements.
• Learn and develop a growing understanding of CMS regulations, compliance requirements, and industry trends relevant to the Medicare market.
• Ensure documented requirements reflect basic compliance and regulatory considerations with guidance from senior team members and compliance stakeholders.

Benefits

• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level