About The Position

The Senior Manager, Medicare Business Consultant reviews Medicare Grievances dashboards, reporting, and analytics to identify performance trends, emerging risks, and areas requiring action. The role synthesizes findings into clear business insights and engages colleagues, business owners, and leaders across teams to drive alignment, coordinate response efforts, and support progress toward improvement. In a regulated environment, this position serves as a senior point of coordination and escalation, raising concerns when data indicates poor performance, unresolved risk, or insufficient progress.

Requirements

  • 7 or more years of work experience in business consulting, project management, program management, business operations, process improvement, analytics, or a related field.
  • Experience reviewing data, dashboards, and reporting to identify business trends, risks, and performance issues.
  • Experience synthesizing complex information into clear business insights, priorities, and action plans.
  • Experience coordinating complex, cross-functional initiatives involving multiple stakeholders and varying levels of leadership.
  • Experience managing timelines, dependencies, risks, and follow-up across concurrent initiatives or improvement efforts.
  • Strong communication, influence, and stakeholder management skills, including the ability to engage leaders, clarify ownership, and drive accountability.
  • Problem-solving and decision-making skills.
  • Collaboration and teamwork skills.
  • Growth mindset, including agility and developing yourself and others.
  • Execution and delivery skills, including planning, delivering, and supporting.
  • Business intelligence skills.

Nice To Haves

  • Experience supporting Medicare Grievances, regulated operations, or process improvement in a healthcare environment.
  • Experience partnering with business leads to drive issue resolution and sustained improvement.
  • Experience developing reporting, dashboards, or executive-ready summaries to monitor performance and outcomes.
  • Experience working across operational, compliance, and business teams to coordinate action and accountability.
  • Experience escalating risks or performance concerns to leadership in a clear, solutions-oriented manner.
  • Project or program management training, certification, or equivalent practical experience.
  • Bachelor’s degree preferred and/or specialized training, relevant professional qualification, or equivalent experience.

Responsibilities

  • Review Medicare Grievances dashboards, reporting, and analytics to identify performance trends, emerging risks, and areas requiring action.
  • Synthesize findings into clear business insights, priorities, and action plans.
  • Engage colleagues, business owners, and leaders across teams to drive alignment and coordinate response efforts.
  • Support progress toward improvement and sustained issue resolution.
  • Coordinate complex, cross-functional initiatives involving multiple stakeholders and varying levels of leadership.
  • Manage timelines, dependencies, risks, and follow-up across concurrent initiatives or improvement efforts.
  • Serve as a senior point of coordination and escalation in a regulated environment.
  • Raise concerns when data signals poor performance, unresolved risk, or insufficient progress.

Benefits

  • Eligible for a CVS Health bonus, commission, or short-term incentive program in addition to base pay.
  • Award target in the company’s equity award program.
  • Medical coverage.
  • Dental coverage.
  • Vision coverage.
  • Paid time off.
  • Retirement savings options.
  • Wellness programs.
  • Other resources, based on eligibility.
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