Senior Manager, Performance and Quality

This is a fully remote position, open to applicants in Rhode Island, +1 more state.

📋 Description

• Formulate strategies and response plans for renewals, RFPs, RFIs, requested program and benefit changes, as well as contract modifications.

• Oversee the complete development and submission process of proposals and official client responses.

• Collaborate with account executives, Finance, Legal, Clinical, and Operations leadership to establish key messages and confirm pricing, performance guarantees, and contractual obligations.

• Craft client-ready narratives and executive communications while representing the team in client meetings.

• Direct project management for implementations and account modifications, which include new programs, vendor transitions, and benefit or system alterations.

• Create and maintain project plans that outline timelines, milestones, responsibilities, and dependencies.

• Investigate client requirements, program advancements, and market and competitive developments.

• Establish standardized templates, content libraries, style guides, and quality checklists, and provide training to contributors.

• Assist in contract negotiations by managing redlines, negotiating terms, and documenting decisions and approvals.

• Manage the audit request log and oversee audit intake, scoping, ownership, and evidence production.

• Conduct quality reviews of audit responses and evidence packages, ensuring secure submission and retention.

• Maintain corrective action plans for contract violations and lead responses to formal client CAP processes.

• Monitor audit findings, management responses, resolutions, and closeouts in relation to contract timelines.

• Report recurring performance and quality issues to leadership.

⛳️ Requirements

• Minimum of 7 years of professional experience.

• Proven experience managing the complete proposal or RFP response process for complex healthcare or PBM clients.

• Skilled in planning, executing, and delivering against multiple concurrent deadlines and owners.

• Proficient in Microsoft Excel, Word, PowerPoint, SharePoint, and proposal content management tools.

• Experience in PBM, health plans, or government programs, including implementations or vendor transitions.

• Experience coordinating audits, regulatory inquiries, or evidence-based client reviews.

• Background in validating pricing, performance guarantees, or contract commitments in proposals.

• Certification in proposal management or project management.

• Bachelor’s degree or equivalent experience required.

• The ideal candidate will reside in the Eastern Time Zone.

🏝️ Benefits

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

• Target award in the company’s equity award program.

• Medical coverage.

• Dental coverage.

• Vision coverage.

• Paid time off.

• Retirement savings options.

• Wellness programs.

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