Senior Manager, Medicare Product Implementation

This is a fully remote position, open to applicants in Alabama, +27 more states.

📋 Description

• Oversee the complete implementation and ongoing management of designated Medicare Advantage programs.

• Guarantee effective implementation, annual readiness for go-live, consistent delivery year-over-year, and operational efficiency.

• Create and oversee project plans, timelines, milestones, risk assessments, mitigation strategies, performance indicators, and resource allocation.

• Record business and eligibility requirements, member journeys, operational processes, and benefit comparisons.

• Facilitate regular project and implementation meetings with both internal teams and external partners.

• Deliver leadership and stakeholder updates, performance metrics, resolve issues, and ensure accountability for milestones.

• Collaborate with internal teams and vendors to establish program requirements that align with benefit objectives, design, and member experience.

• Track program performance, member access, and utilization; pinpoint trends, root causes, and areas for improvement.

• Address operational challenges related to eligibility, vendor processes, benefit configurations, and member experiences.

• Ensure adherence to CMS regulations, documented benefit intents, and internal policies; assist with audits, attestations, and regulatory inquiries.

• Act as a subject matter expert across various programs and competing timelines.

• Promote collaboration and teamwork across functions.

• Assist with bid-related activities, including strategic discussions, benefit data entry, validation, change tracking, and quality assurance.

• Carry out additional responsibilities as required.

⛳️ Requirements

• A minimum of 7 years of professional experience.

• At least 5 years of experience with Medicare Advantage, encompassing supplemental benefits and regulations.

• Proven experience in managing projects and implementations.

• Experience leading intricate cross-functional initiatives that require collaboration and teamwork.

• Background in execution and delivery, including problem-solving, decision-making, and both verbal and written communication skills.

• Proficient in project/program management, including the development and maintenance of project plans.

• Ability to manage competing priorities within a matrixed organization.

• Experience working with vendors and external business partners.

• Strong organizational skills and attention to detail.

• Bachelor’s degree or equivalent experience is mandatory.

🏝️ Benefits

• CVS Health bonus, commission, or short-term incentive program.

• Award target in the company’s equity award program.

• Medical coverage.

• Dental coverage.

• Vision coverage.

• Paid time off.

• Retirement savings options.

• Wellness programs.

• Additional resources supporting physical, emotional, and financial well-being.