Senior Analyst, Medical Policy - Hartford, CT

CVS Health • Hartford, CT

26d

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 A Sr. Analyst, Project Management (IC) role, reporting to the AVP of Medical and Pre-Payment Policy combines high-level project management with detailed administrative and operational tasks. This dual function is crucial for ensuring the smooth operation and strategic execution of medical policy initiatives, including developing, implementing, and enforcing payment and policy rules for healthcare services. Lead and manage key strategic projects related to implementation of new regulatory rules, new large-payment programs and/or scoreable action items from conception to implementation. Conducts routine collaboration with stakeholders to define project objectives, requirements, and deliverables, ensuring alignment with business goals. Drafts correspondence, presentations, and reports, ensuring all messaging is consistent and aligned with the overall strategy supporting the Medical Pre-Payment Policy Solutions (MPPS). Use a centralized platform to track policy initiatives, monitor progress, and provide regular reports to the AVP and other executives on key performance indicators and outcome. Plan and facilitate meetings, including creating agendas, preparing presentation materials, documenting meeting minutes, and tracking action items. Serve as the primary point of contact and liaison between the AVP and key internal and external stakeholders, including clinical teams, legal and compliance departments, and external partners. Manage the AVP's complex calendar, including scheduling meetings, coordinating travel, and prioritizing appointments to optimize their time and focus. Takes ownership of special projects or ad-hoc assignments that fall outside the purview of existing teams, ensuring they are completed on time and within budget. Conducts project post-mortems to capture and apply lessons learned to identify areas for improvement and shares process enhancements to optimize project management practices. Prepares and delivers project progress reports highlighting achievements, risks, and mitigation strategies. Administers leadership and guidance to project teams, fostering a culture of teamwork, accountability, and high performance.

Requirements

• 5+ years of progressive experience in health plan clinical operations with a focus on medical and pre-payment policies.
• Familiarity with medical terminology, healthcare policy, and governance is essential.
• An understanding of the Centers for Medicare & Medicaid Services (CMS) or other regulatory bodies is a significant asset.
• Exceptional organizational, communication, and time-management skills are critical.
• The ability to handle confidential information with discretion is paramount.
• High-level proficiency in productivity software such as Microsoft Office Suite (Word, Excel, PowerPoint) and other document management systems is necessary.
• Commitment to fostering diversity, equity, inclusion, and a culture of continuous improvement.

Nice To Haves

• Prefer candidates who live in the Eastern Time Zone.

Responsibilities

• Lead and manage key strategic projects related to implementation of new regulatory rules, new large-payment programs and/or scoreable action items from conception to implementation.
• Conducts routine collaboration with stakeholders to define project objectives, requirements, and deliverables, ensuring alignment with business goals.
• Drafts correspondence, presentations, and reports, ensuring all messaging is consistent and aligned with the overall strategy supporting the Medical Pre-Payment Policy Solutions (MPPS).
• Use a centralized platform to track policy initiatives, monitor progress, and provide regular reports to the AVP and other executives on key performance indicators and outcome.
• Plan and facilitate meetings, including creating agendas, preparing presentation materials, documenting meeting minutes, and tracking action items.
• Serve as the primary point of contact and liaison between the AVP and key internal and external stakeholders, including clinical teams, legal and compliance departments, and external partners.
• Manage the AVP's complex calendar, including scheduling meetings, coordinating travel, and prioritizing appointments to optimize their time and focus.
• Takes ownership of special projects or ad-hoc assignments that fall outside the purview of existing teams, ensuring they are completed on time and within budget.
• Conducts project post-mortems to capture and apply lessons learned to identify areas for improvement and shares process enhancements to optimize project management practices.
• Prepares and delivers project progress reports highlighting achievements, risks, and mitigation strategies.
• Administers leadership and guidance to project teams, fostering a culture of teamwork, accountability, and high performance.

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
• Number of Employees: 5,001-10,000 employees