Senior Manager, Medicare Strategic Communications

CVS Health

3d•$67,900 - $199,144

About The Position

We are seeking a strategic, data-driven Senior Manager to advise and support Medicare Advantage and Part D health plan clients on member experience and communications strategies, with a strong focus on improving Stars performance. This role sits at the intersection of quality (Stars), pharmacy, clinical programs, sales and member engagement, partnering with internal stakeholders and external clients to design and optimize communications that improve adherence, member experience and Stars outcomes. The ideal candidate combines Medicare expertise, strong strategy development capabilities and experience leveraging advanced analytics and AI-enabled simulation tools to evaluate and improve member-facing messaging.

Requirements

7+ years of experience in healthcare marketing communications
Demonstrated experience in developing and executing communication strategies

Nice To Haves

Strong understanding of Part D benefit design and formulary dynamics, Medicare Stars program and CMS member communication requirements and guidelines
Experience working directly with health plan and other senior executives
Exceptional storytelling and presentation skills

Responsibilities

Serve as a strategic advisor to PBM Medicare health plan clients on Stars improvement initiatives, with a focus on CAHPS, adherence and member experience
Partner with account teams and clients to align Stars strategy, benefit design and member communications
Deliver executive-level insights and recommendations through presentations and strategic engagements
Design and optimize member-facing communications (e.g., onboarding, benefit changes, adherence outreach, formulary disruption, etc.) that are CMS compliant and behaviorally effective
Translate complex regulatory, clinical and pharmacy dynamics into clear, digestible language that resonates across segments (e.g., LIS, chronic patients, varying literacy levels) to reduce the operational friction inherent to Medicare and compel desired actions
Support development of multi-channel engagement strategies (mail, digital, call center, provider touchpoints)
Apply AI-enabled tools to optimize communications
Use simulation outputs to evaluate: Member comprehension and confusion points, Emotional response and trust impact, Resulting action (e.g., call, complain, disengage)
Generate message refinements to reduce confusion and drive desired behavioral response
Leverage performance data, Stars reporting and client insights to identify: Gaps in communication effectiveness, Confusion drivers and abrasion points, Opportunities to improve adherence and CAHPS outcomes
Translate data into clear narratives and executive-ready recommendations
Support development of test-and-learn frameworks (e.g., A/B testing, scenario modeling)
Help drive alignment across stakeholders to ensure integrated Stars strategy execution across: Sales / account teams, Quality/Stars program management, Pharmacy & clinical programs, Analytics & data science teams
Contribute to development of Stars value story, client-facing materials and innovation use cases
Support pilot programs and new capabilities in AI-driven engagement and communication optimization
Educate clients and internal teams on emerging trends in member experience and communication strategy