Duals Center of Excellence (COE) - Sr Mgr. Project Mgt

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Position Summary

The Duals COE is accountable for Aetna products that cover members with Medicaid and Medicare benefits through a single plan (integrated product) as well as supports Aetna’s Duals and Institutional Special Needs Plans throughout the country with regulatory reporting, oversight, State Medicaid Agency Contracts (SMACs) and regulatory elements of SNP Model of Care (MOC) requirements.

The Duals COE also supports programmatic initiatives with enterprise partners that further overall strategic objectives, promote growth and financial sustainability.

The Sr. Manager, Project Management will support the Vice President, Duals in execution of Aetna's Duals Strategy. The candidate will be involved in all aspects of the duals business including helping organize and drive initiatives throughout the organization and in support of integrated product markets that are owned and managed by the Duals COE (MI, OH, IL, NY, NJ, VA). This position will work closely with enterprise strategy teams and support development of materials for executive focused meetings. The position will need to collaborate with key enterprise, market, and segment leadership to support and drive business functions. Key Responsibilities include but not limited to:

• Collaborate with Duals COE leaders on goals and objectives, tracking and driving progress to ensure success
• Serve as liaison to enterprise teams to support Medicare bids, integrated products, executive leadership requests, and other areas to support integrated products and duals generally.
• Collaborate with product and market teams Medicare benefit and bid strategy.
• Contribute to Duals COE strategic planning and development of annual operating plan for integrated products and overall COE activities.
• Partner with integrated product markets to drive local strategy.
• Support market performance goals via local execution of teams supporting STARs/quality withhold, and cost structure reduction (SAIs) initiatives.
• Drive PowerPoint decks and deliverables as needed
• Supporting and helping to drive culture initiatives within the Duals COE and integrated product markets

Required Qualifications

•  3 years of healthcare experience
• Strong facilitative leadership and business problem solving skills.
•  Effective technical skills within PowerPoint, Excel, SharePoint, and other Microsoft applications.
• Ability to build relationships with a diverse workforce and cross functional groups.
•  Proven ability to work successfully within a matrix environment and influence internal stakeholders.
•  Align with the Heart at Work Behaviors of CVS Health: Put people first; Join forces; Inspire Trust; Rise to the Challenge; Create Simplicity

Preferred Qualifications

• Medicare/Medicaid and/or DSNP experience

Education

• Bachelor's degree or equivalent work experience

Pay Range

The typical pay range for this role is:

$75,400.00 - $165,954.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.  The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.  This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.  This position also includes an award target in the company’s equity award program. 
 

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan<