Senior Manager - Medicare Product Implementation

CVS Health•Pittsburgh, PA

5d•$82,940 - $182,549

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. Develops and manages detailed implementation plans to execute integrated DSNP benefit designs flawlessly in collaboration with cross-functional business partners. Creates and manages cross-functional project plan development and execution with a thorough understanding of the technical aspects and details of administration and ongoing maintenance of the integrated DSNP product.

Requirements

5+ years of experience in healthcare, primarily in Medicare Advantage, in any areas such as: product strategy, implementation, or operations with familiarity of Part C coverage and benefits
3+ years of experience working with Special Needs Plans (SNP) benefits and cost sharing setup – specifically integrated special needs plans.
3+ years cross-functional project management experience ensuring deliverables are completed within timelines and issues/risks are escalated and resolved/mitigated appropriately
Strong written and verbal communication skills, with the ability to explain complex information clearly and concisely to all levels within the organization
Proficient with navigating Microsoft Office products (Excel, Word, and Outlook) and other computer-based applications/programs
Highly organized and detail oriented along with having strong time management, prioritization, and problem-solving skills

Nice To Haves

Mastery of project management (PMP certification a plus)

Responsibilities

Establishes processes creating and managing cross-functional project plan development, implementation, execution, and ongoing maintenance of vendor benefits supporting our integrated DSNP offering.
Communicates team direction for solving customer needs, creating robust high-level business requirements, and delivering on product vision and strategy, taking into account system dynamics, and business implications, to produce optimal outcomes.
Elevates project risks, communicating anticipated roadblocks or potential delays, subsequently recommending alternative solutions and associated team responsibilities in a timely manner that allows for minimization of potential project delays or unanticipated costs.
Reviews State Medicaid Agency Contracts (SMACs) for impacts and develops an implementation plan to execute those contracts maintaining alignment with all state requirements.
Monitors for and reacts to state regulatory changes impacting integrated DSNP benefit offerings throughout the plan year.